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"description": "Comment diagnostiquer un besoin de trachéostomie ?\nQuels examens précèdent une trachéostomie ?\nQuels signes indiquent une obstruction des voies respiratoires ?\nQuand envisager une trachéostomie en urgence ?\nQuels symptômes nécessitent une trachéostomie ?",
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"description": "Quels facteurs augmentent le besoin de trachéostomie ?\nComment le tabagisme influence-t-il la trachéostomie ?\nQuels antécédents médicaux sont des facteurs de risque ?\nQuel rôle joue l'âge dans le besoin de trachéostomie ?\nComment les allergies affectent-elles la trachéostomie ?",
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"@type": "Question",
"name": "Comment diagnostiquer un besoin de trachéostomie ?",
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"text": "Un besoin de trachéostomie est diagnostiqué par l'évaluation des voies respiratoires et des difficultés respiratoires."
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"@type": "Question",
"name": "Quels examens précèdent une trachéostomie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des examens comme la fibroscopie bronchique et des imageries peuvent être réalisés."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une obstruction des voies respiratoires ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une respiration bruyante, une cyanose et une détresse respiratoire."
}
},
{
"@type": "Question",
"name": "Quand envisager une trachéostomie en urgence ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "En cas d'obstruction aiguë des voies respiratoires ou d'insuffisance respiratoire sévère."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent une trachéostomie ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme l'apnée, la stridor ou une incapacité à ventiler peuvent nécessiter l'intervention."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une trachéostomie ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent une respiration difficile, une toux persistante et une cyanose."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une détresse respiratoire ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une détresse respiratoire se manifeste par une respiration rapide, des battements de ailes du nez et une agitation."
}
},
{
"@type": "Question",
"name": "Quels signes de complications post-trachéostomie ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une fièvre, des saignements ou une difficulté accrue à respirer."
}
},
{
"@type": "Question",
"name": "Quels symptômes d'infection après trachéostomie ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes d'infection comprennent rougeur, écoulement purulent et douleur au site de la trachéostomie."
}
},
{
"@type": "Question",
"name": "Quels signes d'irritation des voies respiratoires ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une toux sèche, des douleurs thoraciques et une sensation de brûlure."
}
},
{
"@type": "Question",
"name": "Comment se déroule une trachéostomie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La trachéostomie est réalisée sous anesthésie, avec une incision dans la trachée pour insérer un tube."
}
},
{
"@type": "Question",
"name": "Quels soins post-opératoires pour trachéostomie ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les soins incluent le nettoyage du site, la surveillance des signes d'infection et le changement de tube."
}
},
{
"@type": "Question",
"name": "Quels médicaments après une trachéostomie ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des antibiotiques peuvent être prescrits pour gérer la douleur et prévenir l'infection."
}
},
{
"@type": "Question",
"name": "Comment gérer la trachéostomie à domicile ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est essentiel de suivre les instructions médicales, de maintenir une bonne hygiène et de surveiller les signes d'infection."
}
},
{
"@type": "Question",
"name": "Quand retirer le tube de trachéostomie ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tube peut être retiré lorsque le patient peut respirer normalement sans assistance."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une trachéostomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'infection, le saignement, et la déviation du tube."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections après trachéostomie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pour prévenir les infections, il est crucial de maintenir une bonne hygiène et de surveiller le site."
}
},
{
"@type": "Question",
"name": "Quels risques de saignement après trachéostomie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le saignement peut survenir en raison de lésions des vaisseaux sanguins lors de l'intervention."
}
},
{
"@type": "Question",
"name": "Comment gérer une obstruction du tube de trachéostomie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "En cas d'obstruction, il faut aspirer le tube ou le remplacer si nécessaire."
}
},
{
"@type": "Question",
"name": "Quels signes d'une déviation du tube ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une respiration difficile, un bruit anormal et une cyanose."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le besoin de trachéostomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des maladies respiratoires chroniques, des traumatismes ou des cancers de la tête et du cou."
}
},
{
"@type": "Question",
"name": "Comment le tabagisme influence-t-il la trachéostomie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme augmente le risque de maladies respiratoires, rendant la trachéostomie plus probable."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont des facteurs de risque ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de maladies respiratoires, d'accidents vasculaires cérébraux ou de cancers sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'âge dans le besoin de trachéostomie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru de complications respiratoires nécessitant une trachéostomie."
}
},
{
"@type": "Question",
"name": "Comment les allergies affectent-elles la trachéostomie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les allergies peuvent provoquer des inflammations des voies respiratoires, augmentant le besoin d'une trachéostomie."
}
}
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}
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Although spiritual intervention is crucial in the care of childhood cancer patients (CCPs), its effectiveness has not yet been systematically evaluated....
To determine the effectiveness of existing spiritual interventions on psychological, spiritual outcomes, and quality of life (QoL) in CCPs....
We searched eight databases to identify relevant randomized controlled trials and quasi-experimental studies. Risk of bias was assessed using the Cochrane risk-of-bias tool for randomized trials. Resu...
Twelve studies with 576 CCPs were included. Eight studies showed a high risk of bias. The overall effect of existing spiritual interventions on QoL (Z = 1.05, SMD =0.64, 95% CI = -0.15 to 1.83, p = 0....
Evidence to support the positive effects of existing spiritual interventions on psychological and spiritual outcomes and QoL in CCPs is insufficient. Future studies should adopt a more rigorous design...
Carcinoid heart disease (CHD), a complication of carcinoid syndrome (CS), is a rare condition that can lead to right sided valvular heart disease and has been traditionally associated with a poor prog...
A systematic literature search of MEDLINE, EMBASE, EBM Reviews, Google Scholar, ClinicalTrials.gov was conducted. All studies on patients with carcinoid heart disease (CHD) reporting on biomarkers, ec...
A total of 36 articles were included in the systematic review analysis. N terminal pro-brain natriuretic peptide (NTproBNP) and 5-hydroxyindole acetate (5-HIAA) levels were higher in patients with CHD...
There is not enough data in current literature to determine a clear cut-off value of NTproBNP and 5-HIAA to help diagnose or determine CHD severity. Surgical management of CHD is yet to show significa...
The purpose of the present study was to systematically delve into the efficacy and safety of transcutaneous electrical acupoint stimulation (TEAS) on the quality of recovery after general anesthesia....
Randomized controlled trials related to TEAS improving postoperative recovery quality were searched in Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, Wanfang and Chinese biomedical datab...
The study included 10 articles involving 2,383 patients in total. The meta-analysis results unveiled that TEAS could improve 24-hour and 48-hour postoperative QoR-40 scores as well as 24-hour postoper...
TEAS can improve postoperative QoR-40 scores and the quality of recovery, relieve pain, and decrease the incidence of nausea and vomiting after surgery in patients who underwent general anesthesia....
CRD42023433959....
Atopic dermatitis (AD) is a chronic pruritic inflammatory skin disease that is closely linked to genetic factors. Previous studies have revealed numerous single nucleotide polymorphisms (SNPs) that be...
PubMed, Web of Science, Embase, Cochrane Library, and China National Knowledge Infrastructure databases were retrieved to identify eligible studies, with selected polymorphisms being reported in a min...
After screening, 64 studies involving 13 genes (24 SNPs) were selected for inclusion in the meta-analysis. Nine SNPs were positively correlated with AD susceptibility [filaggrin (FLG) R501X, FLG 2282d...
Nine SNPs that may be risk factors and one SNP that may be a protective factor for AD were identified, providing a reference for AD prediction, prevention, and therapy....
Ulcerative colitis (UC) is a global chronic inflammatory bowel disease, and the poor efficacy of currently available pharmacological regimens makes the management of UC a great challenge. Moxibustion ...
The Cochrane Library, PubMed, EMBASE, CNKI, Wanfang, VIP and SinoMed databases will be searched from inception to July 2023, to identify all randomised controlled trials with moxibustion for UC. The p...
Ethics approval is not required for this review. Our findings will be published in a peer-reviewed journal....
CRD42023425481....
An understanding of the prevalence of gestational diabetes mellitus among pregnant women is essential at local, national and international level so that appropriate health care interventions can be pl...
A systematic review and meta-analysis of primary research reporting the prevalence of gestational diabetes mellitus in Canada or the United States were carried out according to Meta-analysis of Observ...
There were 36 separate samples of women or deliveries (total sample size 1,550,917). Overall mean prevalence of gestational diabetes mellitus was 6.9% (95% CI: 5.7-8.3); 13.7% (95% CI: 10.7-17.3) in s...
The meta-analysis suggests a slightly higher prevalence of gestational diabetes mellitus in Canada and the United States, compared to Europe, but highlights the need for standardised protocols for est...
'Early Intervention in Psychosis' (EIP) services have been associated with improved outcomes for early psychosis. However, these services are heterogeneous and many provide different components of tre...
We performed a systematic review and component network meta-analysis (cNMA) of randomised controlled trials (RCTs) that compared specialised intervention services for early psychosis. We searched CENT...
We identified 37 RCTs including 4599 participants. Participants' mean age was 25.8 years (SD 6.0) and 64.0% were men. We found evidence that psychological interventions (this component grouped all psy...
Our findings suggest psychological interventions and case management in addition to pharmacotherapy as the core components of services for early psychosis to achieve sustained clinical benefits. Our c...
National Institute for Health and Care Research....
Primary Sjögren's syndrome (pSS) is an inflammatory autoimmune condition affecting the exocrine glands, which can adversely affect the sexual activities of women with pSS....
The study sought to evaluate the performance of the Female Sexual Function Index (FSFI) score in women with pSS regarding desire, arousal, orgasm, lubrication, satisfaction, and pain compared with tho...
A systematic review was conducted by examining studies published up to May 2023 using Embase, Web of Science, Scopus, and PubMed with the search terms "sexual" and "Sjögren's syndrome."...
Out of the 228 articles retrieved, 9 met the criteria for inclusion in this systematic review. Six of these studies were cross-sectional, involving 229 women with pSS and 303 control subjects. Results...
This updated meta-analysis underscores the importance of assessing genitourinary atrophy, disease-related psychological changes, and dyspareunia in women with pSS. It also emphasizes the need for cust...
Penicillin's long-standing role as the reference standard in syphilis treatment has led to global reliance. However, this dependence presents challenges, prompting the need for alternative strategies....
We searched MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, Embase, Cochrane, Scopus, and Web of Science from database inception to 28 August 2023, and we included studies that ...
Of 6478 screened studies, 27 met the inclusion criteria, summing 6710 patients. The studies were considerably homogeneous, and stratified analyses considering each alternative treatment separately rev...
Alternative treatment strategies have serological cure rates equivalent to penicillin, potentially reducing global dependence on this antibiotic....
To assess the effectiveness and safety of ear moulds for congenital auricle deformities....
Databases including Medline, EMBASE, Cochrane Library, Chinese BioMedical Literature Database (CBM) and Web of Science were systematically reviewed. Randomised controlled trials (RCT), non-randomised ...
The analysis encompassed ten studies, comprising one RCT and nine self-controlled before-after trials, involving 1860 ears (1248 children). The pooled effective rate and adverse reaction rate of ear m...
In the short term, the use of ear moulds is effective and safe in correcting congenital auricle deformities. Notably, the correction efficacy for cryptotia, cup ear and prominent ear deformities surpa...