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"name": "Diagnostic",
"headline": "Diagnostic sur Virus Junin",
"description": "Comment diagnostique-t-on l'infection par le virus Junin ?\nQuels tests sont utilisés pour confirmer le virus Junin ?\nLes symptômes aident-ils au diagnostic du virus Junin ?\nPeut-on diagnostiquer le virus Junin par culture virale ?\nLe diagnostic précoce est-il important pour le virus Junin ?",
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"headline": "Complications sur Virus Junin",
"description": "Quelles sont les complications possibles de l'infection par le virus Junin ?\nLes complications surviennent-elles souvent ?\nLe virus Junin peut-il causer des séquelles à long terme ?\nLes complications sont-elles plus fréquentes chez certains groupes ?\nComment gérer les complications du virus Junin ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Virus Junin",
"description": "Quels sont les principaux facteurs de risque pour le virus Junin ?\nLes agriculteurs sont-ils à risque d'infection par le virus Junin ?\nLes personnes immunodéprimées sont-elles plus vulnérables ?\nLe sexe influence-t-il le risque d'infection par le virus Junin ?\nLes personnes vivant en milieu urbain sont-elles à risque ?",
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"@type": "Question",
"name": "Comment diagnostique-t-on l'infection par le virus Junin ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur des tests sérologiques et PCR pour détecter le virus."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer le virus Junin ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests ELISA et la PCR sont couramment utilisés pour confirmer l'infection."
}
},
{
"@type": "Question",
"name": "Les symptômes aident-ils au diagnostic du virus Junin ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes cliniques orientent le diagnostic, mais des tests sont nécessaires."
}
},
{
"@type": "Question",
"name": "Peut-on diagnostiquer le virus Junin par culture virale ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "La culture virale est possible mais moins courante en raison des risques de contagion."
}
},
{
"@type": "Question",
"name": "Le diagnostic précoce est-il important pour le virus Junin ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un diagnostic précoce permet une prise en charge rapide et améliore le pronostic."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes de l'infection par le virus Junin ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fièvre, myalgies, fatigue, et parfois des hémorragies."
}
},
{
"@type": "Question",
"name": "La fièvre est-elle un symptôme courant du virus Junin ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la fièvre est l'un des symptômes les plus fréquents de l'infection."
}
},
{
"@type": "Question",
"name": "Les symptômes du virus Junin peuvent-ils varier ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'intensité et la nature des symptômes peuvent varier d'une personne à l'autre."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes neurologiques associés au virus Junin ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes neurologiques peuvent survenir, notamment des troubles de la conscience."
}
},
{
"@type": "Question",
"name": "Les symptômes apparaissent-ils rapidement après l'infection ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes apparaissent généralement 1 à 3 semaines après l'exposition au virus."
}
},
{
"@type": "Question",
"name": "Comment prévenir l'infection par le virus Junin ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par l'évitement des contacts avec les rongeurs et la vaccination."
}
},
{
"@type": "Question",
"name": "La vaccination contre le virus Junin est-elle disponible ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une vaccination est disponible et recommandée pour les populations à risque."
}
},
{
"@type": "Question",
"name": "Quelles mesures d'hygiène sont recommandées ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des mesures d'hygiène strictes, comme le nettoyage des lieux infestés, sont essentielles."
}
},
{
"@type": "Question",
"name": "Les rongeurs sont-ils un vecteur de transmission ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les rongeurs sont les principaux réservoirs et vecteurs du virus Junin."
}
},
{
"@type": "Question",
"name": "Les voyageurs doivent-ils se vacciner contre le virus Junin ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les voyageurs se rendant dans des zones endémiques doivent envisager la vaccination."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal pour l'infection par le virus Junin ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement est principalement symptomatique, avec des soins de soutien en cas de gravité."
}
},
{
"@type": "Question",
"name": "Des antiviraux sont-ils efficaces contre le virus Junin ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Actuellement, il n'existe pas d'antiviraux spécifiques approuvés pour le virus Junin."
}
},
{
"@type": "Question",
"name": "La transfusion sanguine est-elle utilisée dans le traitement ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des transfusions peuvent être nécessaires en cas de complications hémorragiques sévères."
}
},
{
"@type": "Question",
"name": "Le traitement précoce améliore-t-il le pronostic ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un traitement précoce et approprié peut améliorer le pronostic des patients."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements expérimentaux pour le virus Junin ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des recherches sont en cours sur des traitements expérimentaux, mais rien n'est encore validé."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de l'infection par le virus Junin ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des hémorragies, des troubles neurologiques et la mort."
}
},
{
"@type": "Question",
"name": "Les complications surviennent-elles souvent ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications graves sont rares mais peuvent survenir chez certains patients."
}
},
{
"@type": "Question",
"name": "Le virus Junin peut-il causer des séquelles à long terme ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des séquelles neurologiques peuvent persister après la guérison de l'infection."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles plus fréquentes chez certains groupes ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes immunodéprimées sont plus à risque de complications sévères."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications du virus Junin ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion des complications nécessite des soins médicaux intensifs et un suivi approprié."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque pour le virus Junin ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'exposition aux rongeurs et le travail en zones endémiques."
}
},
{
"@type": "Question",
"name": "Les agriculteurs sont-ils à risque d'infection par le virus Junin ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les agriculteurs travaillant dans des zones infestées par des rongeurs sont à risque."
}
},
{
"@type": "Question",
"name": "Les personnes immunodéprimées sont-elles plus vulnérables ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles présentent un risque accru de développer des formes graves de la maladie."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'infection par le virus Junin ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des études montrent que le risque peut varier selon le sexe, mais les raisons ne sont pas claires."
}
},
{
"@type": "Question",
"name": "Les personnes vivant en milieu urbain sont-elles à risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque est généralement plus faible en milieu urbain, mais des cas sporadiques peuvent survenir."
}
}
]
}
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Network meta-analysis has been an essential methodology of systematic reviews for comparative effectiveness research. The restricted maximum likelihood (REML) method is one of the current standard inf...
With recent advancements in bronchoscopic procedures, data on the best modality to sample peripheral pulmonary lesions (PPLs) is lacking, especially comparing bronchoscopy with computed tomography-gui...
We performed a meta-analysis, pairwise meta-analysis and network meta-analysis on studies reporting diagnostic yield and complications with the use of CT-TBNA, radial endobronchial ultrasound (rEBUS),...
We included 363 studies. The overall pooled diagnostic yield was 78.1%, the highest with CT-TBNA (88.9%), followed by RAB (84.8%) and the least with rEBUS (72%). In the pairwise meta-analysis, only rE...
Although CT-TBNA is the most effective approach to sample PPLs, RAB has a comparable diagnostic yield with a lesser complication rate. Further prospective studies are needed comparing CT-TBNA and RAB....
Eczema (atopic dermatitis) is the most burdensome skin condition worldwide and cannot currently be prevented or cured. Topical anti-inflammatory treatments are used to control eczema symptoms, but the...
To compare and rank the efficacy and safety of topical anti-inflammatory treatments for people with eczema using a network meta-analysis....
We searched the Cochrane Skin Specialised Register, CENTRAL, MEDLINE, Embase and trial registries on 29 June 2023, and checked the reference lists of included studies....
We included within-participant or between-participant randomised controlled trials (RCTs) in people of any age with eczema of any severity, but excluded trials in clinically infected eczema, seborrhoe...
We used standard Cochrane methods. Primary outcomes were patient-reported eczema symptoms, clinician-reported eczema signs and investigator global assessment. Secondary outcomes were health-related qu...
We included 291 studies involving 45,846 participants with the full spectrum of eczema severity, mainly conducted in high-income countries in secondary care settings. Most studies included adults, wit...
Potent TCS, JAK inhibitors and tacrolimus 0.1% were consistently ranked as amongst the most effective topical anti-inflammatory treatments for eczema and PDE-4 inhibitors as amongst the least effectiv...
Despite considerable improvement in outcomes for preterm infants, rates of bronchopulmonary dysplasia (BPD) remain high, affecting an estimated 33% of very low birthweight infants, with corresponding ...
To determine whether differences in efficacy and safety exist between high-dose dexamethasone, moderate-dose dexamethasone, low-dose dexamethasone, hydrocortisone, and placebo in the prevention of BPD...
We searched the Cochrane Library for all systematic reviews of systemic corticosteroids for the prevention of BPD and searched for completed and ongoing studies in the following databases in January 2...
We included randomized controlled trials (RCTs) in preterm infants (< 37 weeks' gestation) at risk for BPD that evaluated systemic corticosteroids (high-dose [≥ 4 mg/kg cumulative dose] dexamethasone,...
Our main information sources were the systematic reviews, with reference to the original manuscript only for data not included in these reviews. Teams of two paired review authors independently perfor...
We included 59 studies, involving 6441 infants, in our analyses. Only six of the included studies provided direct comparisons between any of the treatment (dexamethasone or hydrocortisone) groups, for...
Low-dose dexamethasone increased the risk for cerebral palsy (RR 1.92, 95% CI 1.12 to 3.28; moderate-certainty evidence) compared with control. Hydrocortisone may decrease the risk of major neurosenso...
No effect was observed for the outcomes of major neurosensory disability or cerebral palsy. The evidence for the primary outcomes was of overall low certainty, with notable deductions for imprecision ...
While early treatment with moderate-dose dexamethasone or late treatment with high-dose dexamethasone may lead to the best effects for survival without BPD, the certainty of the evidence is low. There...
Severely calcified coronary stenoses are difficult to treat with percutaneous coronary interventions. The presence of severe calcifications complicates lesion preparation, advancement of stents and ac...
We will conduct a systematic review of randomised trials enrolling patients with calcified coronary artery disease undergoing percutaneous coronary intervention. We will investigate any percutaneous t...
No ethics approval is required for this study. The results will be published in a peer-reviewed journal in this field....
CRD42021226034....
Multiple sclerosis (MS) is a chronic disease of the central nervous system that affects mainly young adults (two to three times more frequently in women than in men) and causes significant disability ...
To compare adverse effects of immunotherapies for people with MS or clinically isolated syndrome (CIS), and to rank these treatments according to their relative risks of adverse effects through networ...
We searched CENTRAL, PubMed, Embase, two other databases and trials registers up to March 2022, together with reference checking and citation searching to identify additional studies....
We included participants 18 years of age or older with a diagnosis of MS or CIS, according to any accepted diagnostic criteria, who were included in randomized controlled trials (RCTs) that examined o...
We used standard Cochrane methods for data extraction and pairwise meta-analyses. For NMAs, we used the netmeta suite of commands in R to fit random-effects NMAs assuming a common between-study varian...
This NMA included 123 trials with 57,682 participants...
We found mostly low and very low-certainty evidence that drugs used to treat MS may not increase SAEs, but may increase withdrawals compared with placebo. The results suggest that there is no importan...
A comprehensive network meta-analysis comparing the effects of individual sodium-glucose cotransporter 2 (SGLT2) inhibitors on patients with and without comorbidities including diabetes mellitus (DM),...
We searched PubMed, Embase, Cochrane, and ClinicalTrials.gov for randomized controlled trials up to March 28, 2023. Network meta-analysis using a random-effects model was conducted to calculate risk r...
A total of fourteen trials with 75,334 patients were analyzed. Among these, 40,956 had taken SGLT2 inhibitors and 34,378 had not. One of the main results with particular findings was empagliflozin use...
Our network meta-analysis revealed that empagliflozin users with diabetes experienced a lower risk of dying from any cause than those using dapagliflozin. Additionally, canagliflozin users demonstrate...
PROSPERO [CRD42022361906]....
Multiple randomized controlled trials, each comparing a subset of competing interventions, can be synthesized by means of a network meta-analysis to estimate relative treatment effects between all int...
Surgical treatment of complete rectal prolapse can be undertaken via an abdominal or a perineal approach. The present network meta-analysis aimed to compare the outcomes of different abdominal and per...
A PRISMA-compliant systematic review of PubMed, Scopus, and Web of Science was conducted. Randomized clinical trials comparing two or more procedures for the treatment of complete rectal prolapse were...
Nine randomized controlled trials with 728 patients were included. The follow-up ranged between 12 and 47 months. Posterior mesh rectopexy had significantly lower odds of recurrence than did the Altem...
Posterior mesh rectopexy ranked best with the lowest recurrence while perineal procedures ranked worst with the highest recurrence rates....
Several vaccines showed a good safety profile and significant efficacy against COVID-19. Moreover, in the absence of direct head to head comparison between COVID-19 vaccines, a network meta-analysis t...
Databases PubMed, CENTRAL, medRxiv, and clinicaltrials.gov were searched. Studies were included if they were placebo-controlled clinical trials and reported the safety profile and/or effectiveness of ...
Forty-nine clinical trials that included 421,173 participants and assessed 28 vaccines were included in this network meta-analysis. The network meta-analysis showed that Pfizer is the most effective i...
We found that almost all of the vaccines included in this study crossed the threshold of 50% efficacy. However, some of them did not reach the previously mentioned threshold against the B.1.351 varian...