Comment traiter la dépression chez les anciens combattants ?
Les antidépresseurs et la psychothérapie sont couramment utilisés pour traiter la dépression.
DépressionTraitement
#3
Quelles approches sont utilisées pour la gestion de la douleur ?
Les traitements incluent la médication, la physiothérapie et des techniques de relaxation.
Gestion de la douleurPhysiothérapie
#4
Quels sont les traitements pour les troubles de l'humeur ?
Les traitements incluent la thérapie, les médicaments et des programmes de soutien.
Troubles de l'humeurThérapie
#5
Comment aborder la dépendance chez les vétérans ?
Les programmes de désintoxication et la thérapie de groupe sont des approches efficaces.
DépendanceThérapie de groupe
Complications
5
#1
Quelles complications peuvent survenir avec le stress post-traumatique ?
Des troubles de l'humeur, des problèmes de santé physique et des comportements suicidaires peuvent survenir.
Stress post-traumatiqueComplications
#2
Comment la dépression peut-elle affecter la vie quotidienne ?
Elle peut entraîner des difficultés relationnelles, des problèmes de travail et une baisse de la qualité de vie.
DépressionQualité de vie
#3
Quelles sont les conséquences d'une douleur chronique non traitée ?
Elle peut mener à l'anxiété, à la dépression et à une diminution de la mobilité.
Douleur chroniqueConséquences
#4
Quels risques sont associés à la dépendance chez les vétérans ?
Les risques incluent des problèmes de santé, des conflits relationnels et des comportements criminels.
DépendanceRisques
#5
Comment le stress peut-il affecter la santé physique ?
Le stress chronique peut entraîner des maladies cardiovasculaires, des troubles digestifs et d'autres problèmes de santé.
StressSanté physique
Facteurs de risque
5
#1
Quels facteurs augmentent le risque de stress post-traumatique ?
Les expériences de combat, le soutien social faible et des antécédents de troubles mentaux augmentent le risque.
Stress post-traumatiqueFacteurs de risque
#2
Comment l'isolement social influence-t-il la santé mentale ?
L'isolement social peut aggraver les symptômes de dépression et d'anxiété chez les vétérans.
Isolement socialSanté mentale
#3
Quels antécédents médicaux sont des facteurs de risque pour les vétérans ?
Des antécédents de troubles mentaux ou de blessures physiques augmentent les risques de complications.
Antécédents médicauxFacteurs de risque
#4
Comment le stress au travail affecte-t-il les vétérans ?
Le stress au travail peut exacerber les troubles mentaux et physiques chez les anciens combattants.
Stress au travailSanté mentale
#5
Quels rôles jouent les facteurs environnementaux dans la santé des vétérans ?
Les facteurs environnementaux, comme l'exposition à des toxines, peuvent affecter la santé physique et mentale.
Facteurs environnementauxSanté physique
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"name": "Comment promouvoir le bien-être physique chez les vétérans ?",
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"@type": "Question",
"name": "Quels traitements sont efficaces pour le stress post-traumatique ?",
"position": 16,
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}
},
{
"@type": "Question",
"name": "Comment traiter la dépression chez les anciens combattants ?",
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"@type": "Question",
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"position": 21,
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}
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"@type": "Question",
"name": "Comment la dépression peut-elle affecter la vie quotidienne ?",
"position": 22,
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"name": "Quelles sont les conséquences d'une douleur chronique non traitée ?",
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"name": "Quels risques sont associés à la dépendance chez les vétérans ?",
"position": 24,
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"text": "Les risques incluent des problèmes de santé, des conflits relationnels et des comportements criminels."
}
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"@type": "Question",
"name": "Comment le stress peut-il affecter la santé physique ?",
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},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de stress post-traumatique ?",
"position": 26,
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}
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"name": "Quels antécédents médicaux sont des facteurs de risque pour les vétérans ?",
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"name": "Quels rôles jouent les facteurs environnementaux dans la santé des vétérans ?",
"position": 30,
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VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California.
Meadows Mental Health Policy Institute, Dallas, and Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago (Carlo); VA Puget Sound Healthcare System, U.S. Department of Veterans Affairs (VA), Seattle (Sterling, Mao, Fortney, Wong); Earth and Environmental Sciences Division, Los Alamos National Laboratory, Los Alamos, New Mexico (Fiorella); Departments of Psychiatry and Behavioral Sciences (Fortney, Unützer) and Health Systems and Population Health (Wong), School of Medicine, University of Washington, Seattle.
Meadows Mental Health Policy Institute, Dallas, and Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago (Carlo); VA Puget Sound Healthcare System, U.S. Department of Veterans Affairs (VA), Seattle (Sterling, Mao, Fortney, Wong); Earth and Environmental Sciences Division, Los Alamos National Laboratory, Los Alamos, New Mexico (Fiorella); Departments of Psychiatry and Behavioral Sciences (Fortney, Unützer) and Health Systems and Population Health (Wong), School of Medicine, University of Washington, Seattle.
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
2019-10-17
Meadows Mental Health Policy Institute, Dallas, and Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago (Carlo); VA Puget Sound Healthcare System, U.S. Department of Veterans Affairs (VA), Seattle (Sterling, Mao, Fortney, Wong); Earth and Environmental Sciences Division, Los Alamos National Laboratory, Los Alamos, New Mexico (Fiorella); Departments of Psychiatry and Behavioral Sciences (Fortney, Unützer) and Health Systems and Population Health (Wong), School of Medicine, University of Washington, Seattle.
» Adjacent segment disease is characterized by a degenerative process adjacent to a previously fused spine segment, with new onset of clinical symptoms such as radiculopathy, myelopathy, or instabilit...
Lumbar fusion corrects spinal deformities and improves spinal complications. Hip osteoarthritis (OA) is strongly correlated with spinal mobility, and joint space narrowing of the hip after spinal fusi...
We retrospectively examined 530 hips of 270 patients who underwent spinal surgery. All the patients underwent whole-spine radiography before and at the final follow-up. Patients were divided into thre...
The rate of joint space narrowing was significantly higher in the L group than in the N and S groups (P < 0.001). No significant difference in the rate of joint space narrowing was observed between th...
Long spinal fusion (more than four levels) led to significantly greater joint space narrowing of the hip than short (up to three levels) or no fusion. Spinal alignment did not affect joint space narro...
IV, retrospective study....
It remains unclear whether spinal cord untethering is necessary to reduce the chances of neurologic decline in children with myelomeningocele and complex closed spinal dysraphism who undergo thoracolu...
Retrospective, single-center review of patients with spinal dysraphism treated with thoracolumbar fusion over the last 10 years (2009-2019) with or without prophylactic spinal cord untethering....
Seventeen patients with myelomeningocele and complex closed spinal dysraphism underwent spinal fusion for scoliosis. Mean age at time of surgery was 13.9 years. Prophylactic spinal cord untethering wa...
Our data suggest that prophylactic spinal cord untethering in children with spinal dysraphism undergoing thoracolumbar fusion for scoliosis may not be necessary in patients with moderate curvatures. O...
Arthrogryposis multiplex congenita is a group of conditions characterized by joint contractures affecting 2 or more joints. This study describes results of spinal fusion in patients with classic amyop...
IRB approved retrospective review of patients with a diagnosis of classic amyoplasia and general arthrogryposis who had a primary definitive posterior spinal fusion between 1990 and 2017 at a single p...
Over the 28-year period, 342 patients were diagnosed with amyoplasia and general arthrogryposis. Among the 342 patients, 60 (18%) had scoliosis, and 22 (6% of the cohort and 37% of those with scoliosi...
Complication rates after spinal fusion for scoliosis in arthrogryposis multiplex congenita patients are high, especially in patients undergoing ASF/PSF, deep infection is common, and major coronal pla...
II Retrospective Study....
Sagittal balance is widely recognized as the primary determinant of optimal outcomes in adult spinal deformity. In adolescent idiopathic scoliosis (AIS), coronal correction risks being obtained at the...
Prospective cohort study....
Lenke classification is used to define the curve type in adolescent idiopathic scoliosis (AIS). The association of Lenke classification and long-term postoperative health-related quality of life (HRQo...
The purpose of this study was to assess the association between Lenke classification and HRQoL in patients who underwent spinal fusion for AIS....
In all, 146 consecutive patients (mean age 15.1 yr) operated for AIS between 2007 and 2019 with a minimum 2-year follow-up were included. Fifty-three (36%) patients reached the 10-year follow-up. Thei...
The preoperative major curve was the largest in Lenke 3 (mean 63 ° ) and 4 (mean 62 ° ) groups and the lowest in Lenke 5 groups (mean 48 ° , P <0.05). These curves were corrected to a mean of 15 ° wit...
Lenke classification and especially its curve type (major thoracic vs. major thoracolumbar scoliosis) was associated with long-term health-related quality of life after instrumented spinal fusion for ...
To determine risk factors for perioperative blood transfusion after lumbar fusion surgery....
After institutional review board approval, a retrospective cohort study of adult patients who underwent lumbar fusion at a single, urban tertiary academic center was retrospectively retrieved. Our pri...
Of the 3,842 patients, 282 (7.3%) required a blood transfusion. For patients undergoing posterolateral decompression and fusion, predictors of transfusion included age (P < 0.001) and more levels fuse...
Our analysis identified older age, lower body mass index, greater Elixhauser comorbidity index, longer operative duration, more levels fused, and lower preoperative hemoglobin levels as independent pr...
To develop ligamentous vertebral stabilization techniques ("vertebropexy") that can be used after microsurgical decompression (intact posterior structures) and midline decompression (removed posterior...
Fifteen spinal segments were biomechanically tested in a stepwise surgical decompression and ligamentous stabilization study. Stabilization was achieved with a gracilis or semitendinosus tendon allogr...
Interspinous vertebropexy significantly reduced the range of motion (ROM) in all loading scenarios compared to microsurgical decompression: in FE by 70% (p < 0.001), in LS by 22% (p < 0.001), in LB by...
Vertebropexy is a new concept of semi-rigid spinal stabilization based on ligamentous reinforcement of the spinal segment. It is able to reduce motion, especially in flexion-extension. Studies are nee...
Controlled Laboratory Study....
To compare multilevel posterior cervical fusion (PCF) constructs stopping at C7, T1, and T2 under cyclic load to determine the range of motion (ROM) between the lowest instrumented level and lowest in...
PCF is a mainstay of treatment for various cervical spine conditions. The transition between the flexible cervical spine and rigid thoracic spine can lead to construct failure at the cervicothoracic j...
Fifteen human cadaveric cervicothoracic spines were randomly assigned to 1 of 3 treatment groups: PCF stopping at C7, T1, or T2. Specimens were tested in their native state, following a simulated PCF,...
The C7 group had greater flexion-extension motion than the T1 and T2 groups following instrumentation (10.17±0.83 degree vs. 2.77±1.66 degree and 1.06±0.55 degree, P <0.001), and after cyclic loading ...
Motion at the cervicothoracic junction is significantly greater when a multilevel PCF stops at C7 rather than T1 or T2. This is likely attributable to the transition from a flexible cervical spine to ...
Not applicable....
Trisomy 21 or Down syndrome is associated with multiple orthopaedic manifestations. Although cervical instability is the most common spinal condition associated with Down syndrome, the prevalence of s...
An institutional review board-approved multicenter retrospective analysis of patients with Down syndrome treated with spinal fusion between January 2009 and December 2019 was performed by cross-refere...
A total of 23 patients were included: 96% had ≥1 medical comorbidities, including 16 (70%) with congenital heart disease, of whom 88% had previous cardiac surgery, and 10 (44%) with thyroid disorders....
Although instrumented spinal fusion can effectively correct spinal deformity in these patients, complications are more frequent than in children with adolescent idiopathic scoliosis, with over half of...
Prognostic Level III . See Instructions for Authors for a complete description of levels of evidence....