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"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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"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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"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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A high school-aged right-handed adolescent boy presented with a 5-mo history of persistent proximal right arm weakness and numbness after an American football stinger injury without a documented histo...
The purpose of this study was to investigate the outcomes of conservative treatment for recurrent shoulder dislocation without subjective apprehension, despite the presence of a Bankart lesion or glen...
A retrospective analysis was performed for 92 patients with recurrent shoulder dislocation treated with conservative treatment due to negative apprehension between 2009 and 2018. The failure of the co...
This retrospective study included 61 of 92 eligible patients with recurrent shoulder dislocation. Among the 61 patients, conservative treatment failed in 46 (75.4%) over the 2-year study period. The c...
Conservative treatment for recurrent shoulder dislocation in patients without subjective apprehension showed a high failure rate during the study period, especially if the glenoid defect was ≥ 14.4% i...
Level IV....
Neglected bilateral posterior shoulder dislocation is a rare injury caused primarily by an epileptic seizure. The injury is usually associated with a reverse Hill-Sachs lesion in the anteromedial aspe...
Anterior shoulder dislocation is a common presentation to the emergency department (ED). Dislocations are spontaneous or traumatic. Generally, a reduction is performed under procedural sedation and an...
The dislocation was reduced successfully with a suprascapular nerve block (SSNB) without complications. The duration of the patient's ED stay was shorter than those who had received PSA....
SSNB could be an alternative method for shoulder dislocation reduction, particularly for patients who are obese, older, or have cardiopulmonary comorbidities....
We performed a network meta-analysis (NMA) to compare the efficacy and safety of intravenous sedation (IVS), intraarticular anesthetic injection (IAA), and peripheral nerve block (PNB) as sedation or ...
We included randomized controlled trials (RCTs) comparing different sedation or analgesia methods for anterior shoulder dislocation reduction. The Cochrane Central Register of Controlled Trials, MEDLI...
Sixteen RCTs (957 patients) were included. Regarding the primary outcomes, the three methods might result in little to no difference in the immediate success rate of reduction and patient satisfaction...
The results of our NMA indicated that three sedation or analgesia methods (IVS, IAA, and PNB) might result in little to no difference in the success rate of reduction and patient satisfaction. IAA and...
Reduction manipulation using self-reduction procedures such as Stimson, Milch, and Boss-Holtzach should be easy and effective and also require less force, pain medication, and outside assistance. This...
We conducted a comprehensive search on PubMed, Scopus, Web of Science, and Cochrane up to March 22, 2023, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklis...
Four papers in all were included in the meta-analysis. One prospective trial, one case-control study, one randomized clinical trial, and one retrospective trial made up these studies. The studies invo...
Supervised self-reduction techniques outperform in terms of success rate and reduction-related maximum pain. These techniques could be used as an effective first-line treatment for anterior shoulder d...
The term shoulder instability refers to a variety of mechanisms and clinical presentations. One of the common pathologies of throwing disorders is internal impingement with anterior instability. Most ...
Sixty-one athletes (all men; mean age, 25.2 ± 12.6 yr) who underwent an arthroscopic procedure were divided into 2 groups: 25 in the throwing group and 36 in the dislocation group. All shoulders had s...
Arthroscopic findings of the throwing group showed more supraspinatus injuries (92% and 25%, P < .001), type II superior labrum tear anterior and posterior lesions (60% and 3%, P < .001), posterosuper...
These results indicate that the characteristic lesions of internal impingement with anterior instability in throwing athletes include partial thickness rotator cuff tears, superior labrum tear anterio...
A 49-year-old highly active man had a direct fall on the left shoulder, causing a chronic locked posterior shoulder dislocation. Radiographic analysis revealed a reverse Hill-Sachs lesion (RHSL) that ...
The reported approach for reconstructing the RHSL provides adequate stability, pain reduction, and functional outcomes. It may be considered as an option for joint preservation in extensive humeral he...
Traumatic shoulder dislocations rank among the most common shoulder injuries in climbers, with rising numbers over the last years. The objective of this study was to analyze the outcome following trau...
In a retrospective study, climbers who experienced a traumatic shoulder dislocation were treated with an arthroscopic repair of the labrum-ligament complex (LLC). The functional outcome was assessed w...
The functional and sport-specific outcome for 27 climbers (20 men; 7 women; 3 with bilateral injuries; age, 34±11 [17-61] y; data presented as mean±SD [range]) was assessed 53±29 (12-103) mo after sur...
Arthroscopic repair of the LLC following first-time traumatic shoulder dislocation in climbers shows a good outcome and a low recurrence rate. After surgery, most patients are able to regain a high le...
Shoulder is vulnerable to dislocation owing to its anatomical structure and the increasing popularity of contact sports in young population. The management of first-time anterior shoulder dislocation ...
Databases were searched till November 2021, and comparative studies between arthroscopic Bankart repair and conservative management for first-time traumatic anterior shoulder dislocation in young popu...
The search returned 12 eligible trials with 786 participants. All the trials were of prospective design. After arthroscopic Bankart repair, patients experienced significantly less re-dislocation (7.5%...
Arthroscopic Bankart repair showed superiority over conservative management in terms of recurrence, return to play, and subsequent instability surgery during the follow-up in young active patients tha...