Titre : Maladie de Chagas

Maladie de Chagas : Questions médicales fréquentes

Termes MeSH sélectionnés :

Appointments and Schedules
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"hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Maladie de Chagas", "description": "Comment diagnostique-t-on la maladie de Chagas ?\nQuels examens sont utilisés pour le diagnostic ?\nPeut-on diagnostiquer la maladie par biopsie ?\nQuels sont les signes cliniques au diagnostic ?\nLa maladie de Chagas est-elle toujours symptomatique ?", "url": "https://questionsmedicales.fr/mesh/D014355?mesh_terms=Appointments+and+Schedules&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Maladie de Chagas", "description": "Quels sont les symptômes aigus de la maladie de Chagas ?\nQuels symptômes chroniques peuvent apparaître ?\nY a-t-il des symptômes cutanés associés ?\nComment se manifeste l'œdème de l'œil ?\nLes symptômes varient-ils selon les régions ?", "url": "https://questionsmedicales.fr/mesh/D014355?mesh_terms=Appointments+and+Schedules&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Maladie de Chagas", "description": "Comment prévenir la maladie de Chagas ?\nLes moustiquaires sont-elles efficaces ?\nL'éducation sanitaire joue-t-elle un rôle ?\nLes tests de dépistage sont-ils importants ?\nPeut-on prévenir la transmission par voie orale ?", "url": "https://questionsmedicales.fr/mesh/D014355?mesh_terms=Appointments+and+Schedules&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Maladie de Chagas", "description": "Quel est le traitement principal de la maladie de Chagas ?\nLe traitement est-il efficace à tous les stades ?\nY a-t-il des effets secondaires au traitement ?\nDes traitements alternatifs existent-ils ?\nLe traitement prévient-il les complications ?", "url": "https://questionsmedicales.fr/mesh/D014355?mesh_terms=Appointments+and+Schedules&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Maladie de Chagas", "description": "Quelles sont les complications cardiaques possibles ?\nLa maladie peut-elle affecter le système digestif ?\nY a-t-il des risques de décès liés à la maladie ?\nLes complications sont-elles réversibles ?\nComment les complications affectent-elles la qualité de vie ?", "url": "https://questionsmedicales.fr/mesh/D014355?mesh_terms=Appointments+and+Schedules&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Maladie de Chagas", "description": "Quels sont les principaux facteurs de risque ?\nLes voyages dans certaines régions augmentent-ils le risque ?\nLes conditions de vie influencent-elles le risque ?\nLes antécédents familiaux jouent-ils un rôle ?\nLes personnes immunodéprimées sont-elles plus à risque ?", "url": "https://questionsmedicales.fr/mesh/D014355?mesh_terms=Appointments+and+Schedules&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on la maladie de Chagas ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur des tests sérologiques pour détecter les anticorps anti-T. cruzi." } }, { "@type": "Question", "name": "Quels examens sont utilisés pour le diagnostic ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests comme l'ELISA, l'immunofluorescence et la PCR sont couramment utilisés." } }, { "@type": "Question", "name": "Peut-on diagnostiquer la maladie par biopsie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une biopsie de tissu peut révéler la présence du parasite dans certains cas." } }, { "@type": "Question", "name": "Quels sont les signes cliniques au diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Les signes peuvent inclure des œdèmes, des éruptions cutanées et des symptômes cardiaques." } }, { "@type": "Question", "name": "La maladie de Chagas est-elle toujours symptomatique ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Non, elle peut être asymptomatique pendant des années avant d'entraîner des complications." } }, { "@type": "Question", "name": "Quels sont les symptômes aigus de la maladie de Chagas ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes aigus incluent fièvre, fatigue, et gonflement au site de la piqûre." } }, { "@type": "Question", "name": "Quels symptômes chroniques peuvent apparaître ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes chroniques incluent des problèmes cardiaques et digestifs, comme l'arythmie." } }, { "@type": "Question", "name": "Y a-t-il des symptômes cutanés associés ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des éruptions cutanées et des lésions peuvent se développer, surtout au stade aigu." } }, { "@type": "Question", "name": "Comment se manifeste l'œdème de l'œil ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "L'œdème de l'œil, ou signe de Romaña, se manifeste par un gonflement autour de l'œil." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon les régions ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier en fonction de la souche du parasite et de l'hôte." } }, { "@type": "Question", "name": "Comment prévenir la maladie de Chagas ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut l'amélioration des conditions de logement et l'utilisation d'insecticides." } }, { "@type": "Question", "name": "Les moustiquaires sont-elles efficaces ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les moustiquaires peuvent réduire le contact avec les insectes vecteurs de la maladie." } }, { "@type": "Question", "name": "L'éducation sanitaire joue-t-elle un rôle ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'éducation sur les risques et les méthodes de prévention est cruciale pour réduire l'incidence." } }, { "@type": "Question", "name": "Les tests de dépistage sont-ils importants ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le dépistage des donneurs de sang et des femmes enceintes est essentiel pour prévenir la transmission." } }, { "@type": "Question", "name": "Peut-on prévenir la transmission par voie orale ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, éviter la consommation d'aliments contaminés peut prévenir la transmission orale de la maladie." } }, { "@type": "Question", "name": "Quel est le traitement principal de la maladie de Chagas ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est l'utilisation de médicaments antiparasitaires comme le benznidazole." } }, { "@type": "Question", "name": "Le traitement est-il efficace à tous les stades ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement est plus efficace au stade aigu; son efficacité diminue au stade chronique." } }, { "@type": "Question", "name": "Y a-t-il des effets secondaires au traitement ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des effets secondaires comme des éruptions cutanées et des troubles gastro-intestinaux peuvent survenir." } }, { "@type": "Question", "name": "Des traitements alternatifs existent-ils ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des traitements alternatifs sont en cours d'étude, mais le benznidazole reste le standard." } }, { "@type": "Question", "name": "Le traitement prévient-il les complications ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Un traitement précoce peut réduire le risque de complications à long terme, comme les problèmes cardiaques." } }, { "@type": "Question", "name": "Quelles sont les complications cardiaques possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications cardiaques incluent l'insuffisance cardiaque, les arythmies et la cardiomyopathie." } }, { "@type": "Question", "name": "La maladie peut-elle affecter le système digestif ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications digestives comme l'agrandissement de l'œsophage ou du côlon peuvent survenir." } }, { "@type": "Question", "name": "Y a-t-il des risques de décès liés à la maladie ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications graves peuvent entraîner la mort, surtout si non traitées." } }, { "@type": "Question", "name": "Les complications sont-elles réversibles ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent être gérées, mais beaucoup sont irréversibles sans traitement précoce." } }, { "@type": "Question", "name": "Comment les complications affectent-elles la qualité de vie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les complications peuvent gravement affecter la qualité de vie, limitant les activités quotidiennes." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent la pauvreté, le manque d'accès à des logements sains et l'exposition aux insectes vecteurs." } }, { "@type": "Question", "name": "Les voyages dans certaines régions augmentent-ils le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, voyager dans des zones endémiques augmente le risque d'exposition au parasite." } }, { "@type": "Question", "name": "Les conditions de vie influencent-elles le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, vivre dans des habitations en terre ou en bois augmente le risque d'infestation par les triatomes." } }, { "@type": "Question", "name": "Les antécédents familiaux jouent-ils un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, avoir des antécédents familiaux de la maladie peut augmenter le risque d'infection." } }, { "@type": "Question", "name": "Les personnes immunodéprimées sont-elles plus à risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes immunodéprimées peuvent être plus susceptibles de développer des formes graves de la maladie." } } ] } ] }

Sources (1632 au total)

Criteria-based outpatient scheduling at a nephrology clinic: prospective evaluation of patient pre-assessment and its corresponding adaptive scheduling strategy.

Outpatient Clinics (OCs) are under pressure because of increasing patient volumes and provider shortages. At the same time, many patients with chronic diseases receive routine follow-up consultations ... This prospective mixed-methods evaluation study consists of 1) an expert meeting to determine a pre-assessment strategy; 2) a retrospective cohort study to review the impact of this strategy (12 month... The expert group reached consensus about the pre-assessment criteria. 875 (18%) of the realized appointments in 2022 did not meet the OC visit pre-assessment criteria. In the best performing schedulin... This evaluation study allows OC managers to virtually test operational impact of pre-assessment strategies on the capacity of their OC, and shows the potential of increasing efficient use of scarce he... Not applicable....

Factors associated with appointment 'no-shows' at two tertiary level outpatient oculoplastic clinics.

Appointment no-shows in clinics can adversely impact patients and physicians alike. This study aimed to determine the rate and potential causes of missed appointments in oculoplastic clinics and compa... A retrospective review of patients who booked appointments for oculoplastic consultation, between August 2019 and January 2020 at two oculoplastic clinics was performed. Demographic and patient-specif... The rate of missed appointments was 3% and 17% at the oculoplastic clinics of Lions Eye Institute (LEI, private practice) and Albany Medical Center (AMC, academic hospital-based office), respectively.... The no-show rate for oculoplastic appointments is 3% and 17% at LEI and AMC clinics, respectively. Our analysis shows that younger patients are more likely to miss appointments at both clinics, and an...

Smart Scheduling (SMASCH): multi-appointment scheduling system for longitudinal clinical research studies.

Facilitate the multi-appointment scheduling problems (MASPs) characteristic of longitudinal clinical research studies. Additional goals include: reducing management time, optimizing clinical resources... Following a model view controller architecture, we developed a web-based tool written in Python 3.... Smart Scheduling (SMASCH) system facilitates clinical research and integrated care programs in Luxembourg, providing features to better manage MASPs and speed up management tasks. It is available both... The long-term requirements of longitudinal clinical research studies justify the employment of flexible and well-maintained frameworks and libraries through an iterative software life-cycle suited to ... SMASCH is a free and open-source scheduling system for clinical studies able to satisfy recent data regulations providing features for better data accountability. Better scheduling systems can help op...

Using Nudges to Reduce Missed Appointments in Primary Care and Mental Health: a Pragmatic Trial.

Missed appointments ("no-shows") are a persistent and costly problem in healthcare. Appointment reminders are widely used but usually do not include messages specifically designed to nudge patients to... To determine the effect of incorporating nudges into appointment reminder letters on measures of appointment attendance.... Cluster randomized controlled pragmatic trial.... There were 27,540 patients with 49,598 primary care appointments, and 9420 patients with 38,945 mental health appointments, between October 15, 2020, and October 14, 2021, at one VA medical center and... Primary care (n = 231) and mental health (n = 215) providers were randomized to one of five study arms (four nudge arms and usual care as a control) using equal allocation. The nudge arms included var... Primary and secondary outcomes were missed appointments and canceled appointments, respectively.... Results are based on logistic regression models adjusting for demographic and clinical characteristics, and clustering for clinics and patients.... Missed appointment rates in study arms ranged from 10.5 to 12.1% in primary care clinics and 18.0 to 21.9% in mental health clinics. There was no effect of nudges on missed appointment rate in primary... Appointment reminder letters incorporating brief behavioral nudges were ineffective in improving appointment attendance in VA primary care or mental health clinics. More complex or intensive intervent... ClinicalTrials.gov, Trial number NCT03850431....

The association between primary care appointment lengths and opioid prescribing for common pain conditions.

While brief duration primary care appointments may improve access, they also limit the time clinicians spend evaluating painful conditions. This study aimed to evaluate whether 15-minute primary care ... We performed a retrospective cohort study using electronic health record (EHR), pharmacy, and administrative scheduling data from five primary care practices in Minnesota. Adult patients seen for acut... We identified 45,471 eligible acute primary care visits during the study period with 2.7% (N = 1233) of the visits scheduled for 15 min and 98.2% (N = 44,238) scheduled for 30 min or longer. Rates of ... For selected indications and for selected patients, shorter duration appointments may not result in greater rates of opioid prescribing for common painful conditions....

Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics.

Missed appointments (MAs) at child development centres (ChDCs) cause multiple problems: they preclude timely diagnosis and treatment of both the invited child and children whose appointment was delaye... This nested case-control study included all children scheduled for initial appointments (N = 1143) at three centres during 1 year. Parents of children who missed their appointment and a sample of thos... The rate of missed appointments was 26.6%, and the most frequent reasons were unexpected events (26.0%) and lack of insurance coverage (23.4%). Variables associated with lower MA rates were: having ha... Encouraging physician's referral letters and personal-contact reminders can reduce missed appointments. Understanding the family's and the child's personal characteristics, and the organisational/admi...

Reducing missed psychotherapy appointments: An advanced practice nurse-initiated telephone orientation protocol.

Missed appointments pose significant challenges to the health care system as they contribute to the inefficient use of resources, increase costs, and result in poor outcomes. The aim of this project w... Quasi-experimental.... The TOP intervention combined an attendance policy review, psychoeducation, and motivational interviewing techniques. Missed appointment rates were compared before and after initiation of the TOP.... The TOP significantly reduced the rates of missed appointments by 55% over 12 weeks.... The TOP can be implemented as standard care to increase client engagement, improve appointment attendance, and boost clinician productivity....