Maladie de Chagas : Questions médicales fréquentes
Nom anglais: Chagas Disease
Descriptor UI:D014355
Tree Number:C01.920.625
Termes MeSH sélectionnés :
Randomized Controlled Trials as Topic
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"headline": "Questions et réponses médicales fréquentes sur Maladie de Chagas",
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"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 ?",
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"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 ?",
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"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=Randomized+Controlled+Trials+as+Topic&page=1000#section-prévention"
},
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"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 ?",
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},
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"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=Randomized+Controlled+Trials+as+Topic&page=1000#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=Randomized+Controlled+Trials+as+Topic&page=1000#section-facteurs de risque"
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"@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."
}
}
]
}
]
}
To evaluate the efficacy of Bacillus clausii in the treatment of pediatric constipation....
A randomized, double-blind, placebo-controlled trial was conducted from January, 2021 to January, 2022 in children aged 1-5 years diagnosed with functional constipation according to Rome IV criteria. ...
This trial enrolled 38 children (B. clausii, n=20 and placebo, n=18). At 4 weeks, no significant difference was noted in the treatment success between B. clausii and placebo groups [45% vs 56%; P=0.52...
A 4-week course of B. clausii as the sole treatment was not more effective than a placebo for the management of functional constipation in children aged 1-5 years....
Uncontrolled hypertension (ie, a 24-hour ambulatory systolic blood pressure of ≥130 mm Hg and diastolic blood pressure of ≥80 mm Hg or clinic systolic blood pressure of ≥140 mm Hg and diastolic blood ...
To evaluate the effect of a telephone coaching and blood pressure self-monitoring intervention compared with usual care on changes in systolic and diastolic blood pressures and behaviors at 6 and 12 m...
This randomized clinical trial included male and female participants aged 18 to 39 years with uncontrolled hypertension confirmed by 24-hour ambulatory blood pressure testing. This was a geographicall...
The My Hypertension Education and Reaching Target (MyHEART) intervention consisted of telephone coaching every 2 weeks for 6 months, with home blood pressure monitoring. Control participants received ...
The co-primary clinical outcomes were changes in 24-hour ambulatory and clinic systolic and diastolic blood pressure at 6 and 12 months. The secondary outcomes were hypertension control (defined as am...
A total of 316 participants were randomized (159 to the control group and 157 to the intervention group) from October 2017 to December 2020. The median (IQR) age was 35 (31-37) years, 145 of 311 parti...
The MyHEART intervention did not demonstrate a significant change in systolic or diastolic blood pressures at 6 or 12 months between study groups; however, both study groups had an appreciable reducti...
ClinicalTrials.gov Identifier: NCT03158051....
Several studies have been performed in vitro and in animals showing that propolis (a resin made by bees) has excellent anti-inflammatory properties, but no study has been performed in patients with ch...
This is a longitudinal, double-blind, placebo-controlled trial with patients randomized into two groups: propolis (4 capsules of 100 mg/day containing concentrated and standardized dry EPP-AF® green p...
Forty-one patients completed the follow-up, 21 patients in the propolis group (45 ± 12 years, 13 women, BMI, 22.8 ± 3.7 kg/m...
Short-term EPP-AF® propolis dry extract 400 mg/day supplementation seems to mitigate inflammation, reducing the plasma levels of TNFα and MIP-1β in patients with CKD on HD. This study was registered a...
The perception of illness may lead to improving the hypertensive patients' lifestyle, but no study was found in this regard. Therefore, this study was conducted to determine the effect of intervention...
In the present randomized controlled trial study, ninety eligible patients with primary hypertension were randomly assigned to one of the two groups of intervention and control. Patients in the interv...
Leventhal's self-regulatory intervention improved subscales of illness perception (p < 0.05) except for emotional representations and consequences. The global mean scores of the hypertensive patients ...
Interventions based on Leventhal's self-regulatory model could improve the illness perception and lifestyle of patients with hypertension. Trial registration The present randomized controlled trial st...
Electroacupuncture (EA) is a component alternative therapy for severe chronic constipation (SCC). Women are more vulnerable to SCC and gender might impact the response of patients with functional gast...
Based on a multicenter, randomized, noninferiority trial, 446 female patients were randomly assigned to receive 28-session EA (n = 222) over 8 weeks with 24-week follow-up without treatment or to rece...
The proportion of overall responders was 25.23% in the EA group, similar to 25.89% in the prucalopride group, with a between-group difference of - 0.67% (95% CI, - 8.80 to 7.40%; P = 0.872) during an ...
EA may be a promising and safe treatment for women with SCC; its effect could sustain 24 weeks after treatment stopped....
Cognitive problems, both complaints and objective impairments, are frequent and disabling in patients with multiple sclerosis (MS) and profoundly affect daily living. However, intervention studies tha...
In this randomized-controlled trial, MS patients with cognitive complaints completed questionnaires and underwent neuropsychological assessments at baseline, post-treatment and 6-month follow-up. Pati...
Patients were randomized into CRT (n = 37), MBCT (n = 36) or ETAU (n = 37), of whom 100 completed the study. Both CRT and MBCT positively affected patient-reported cognitive complaints compared to ETA...
Both CRT and MBCT alleviated cognitive complaints in MS patients immediately after treatment completion, but these benefits did not persist. In the long term, CRT showed benefits on personalized cogni...
Complementary feeding should be given to infants at 6 months in addition to breastmilk. Mothers' knowledge and behavior in giving adequate complementary feeding are crucial to prevent malnutrition ris...
American college students who study abroad experience increases in their drinking behavior, concerning risky sexual behaviors, and high rates of sexual violence while abroad. Despite these concerns, i...
Using a sample of 650 college students from 40 home institutions, we conducted a randomized controlled trial of the intervention and tested its effects on drinking (drinks per week, binge drinking fre...
We observed small, but nonsignificant, intervention effects on drinks per week and binge drinking days during the first month abroad and three months after they had returned home to the United States,...
Though mostly nonsignificant, small initial intervention effects were promising in this first empirical test of an alcohol and sexual risk prevention program for study abroad students. However, studen...
NCT03928067....
Exercise therapy, self-management and education are recommended interventions for hand osteoarthritis (OA), but new delivery systems are needed to solve lack of adherence....
To determine the effects on hand function and pain related measures of a mobile app-delivered intervention, compared with usual care, in patients with symptomatic hand OA....
A pragmatic, multicenter, two-group parallel randomized controlled trial....
Community health centers in rural southern Spain....
Eighty-three participants with unilateral or bilateral symptomatic hand OA were proposed to participate, and finally 74 were included and randomized....
Participants received a home multimodal treatment (exercise, education, and self-management recommendations) with the CareHand mobile app or usual care (written exercises) over 12 weeks. Monthly telep...
The CareHand group showed significant within-group changes in hand function at 6-months (-3.0, 95% CI -5.1 to -0.9 vs. usual care: -0.9, 95% CI -3.3 to 1.5). Neither group showed improvements in hand ...
A mobile app-delivered intervention is effective for improving hand function, and better than usual care for upper limb function and pain. Further research is warranted to understand the impact of mob...
mHealth interventions are a feasible and secure multimodal delivery approach in older adults with hand OA in rural primary care setting. Baseline pain and upper limb function might predict functional ...