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"@type": "Question",
"name": "Comment diagnostiquer la TB-MR ?",
"position": 1,
"acceptedAnswer": {
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"text": "Le diagnostic se fait par culture bactérienne et tests de sensibilité aux antibiotiques."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour la TB-MR ?",
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"text": "Les tests incluent la culture, le test de réaction en chaîne par polymérase (PCR) et les tests de sensibilité."
}
},
{
"@type": "Question",
"name": "Les symptômes aident-ils au diagnostic ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes comme la toux persistante et la fièvre peuvent orienter vers un diagnostic de TB."
}
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{
"@type": "Question",
"name": "Quelle est l'importance du dépistage précoce ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un dépistage précoce permet de commencer le traitement rapidement et de limiter la transmission."
}
},
{
"@type": "Question",
"name": "Les tests sanguins sont-ils fiables pour la TB-MR ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests sanguins comme l'IGRA peuvent aider, mais ne remplacent pas les cultures."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes de la TB-MR ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent toux persistante, fièvre, sueurs nocturnes et perte de poids."
}
},
{
"@type": "Question",
"name": "La TB-MR cause-t-elle des douleurs thoraciques ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs thoraciques peuvent survenir en raison de l'infection pulmonaire."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon les patients ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier en fonction de l'état de santé et de la gravité de l'infection."
}
},
{
"@type": "Question",
"name": "La fatigue est-elle un symptôme courant ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la fatigue est fréquente en raison de l'infection et de la réponse immunitaire."
}
},
{
"@type": "Question",
"name": "Les symptômes apparaissent-ils rapidement ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, les symptômes peuvent se développer lentement sur plusieurs semaines ou mois."
}
},
{
"@type": "Question",
"name": "Comment prévenir la TB-MR ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention inclut le dépistage, le traitement préventif et la vaccination BCG."
}
},
{
"@type": "Question",
"name": "La vaccination BCG est-elle efficace contre la TB-MR ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "La vaccination BCG offre une protection limitée contre la TB-MR, mais aide à prévenir la TB classique."
}
},
{
"@type": "Question",
"name": "Quelles mesures d'hygiène sont recommandées ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des mesures comme le port de masques et l'aération des espaces réduisent le risque de transmission."
}
},
{
"@type": "Question",
"name": "Le dépistage est-il important pour les contacts ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le dépistage des contacts est crucial pour identifier et traiter les cas potentiels."
}
},
{
"@type": "Question",
"name": "Les campagnes de sensibilisation aident-elles ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles augmentent la connaissance des symptômes et encouragent le dépistage précoce."
}
},
{
"@type": "Question",
"name": "Quel est le traitement standard pour la TB-MR ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement standard inclut des antibiotiques de seconde ligne pendant au moins 18 mois."
}
},
{
"@type": "Question",
"name": "Les antibiotiques de première ligne sont-ils efficaces ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, les antibiotiques de première ligne ne sont pas efficaces contre la TB-MR."
}
},
{
"@type": "Question",
"name": "Quels sont les effets secondaires des traitements ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets secondaires peuvent inclure nausées, douleurs abdominales et toxicité hépatique."
}
},
{
"@type": "Question",
"name": "La durée du traitement est-elle flexible ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la durée du traitement est strictement définie pour éviter la résistance supplémentaire."
}
},
{
"@type": "Question",
"name": "Le suivi médical est-il nécessaire pendant le traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un suivi régulier est essentiel pour surveiller l'efficacité et les effets secondaires."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec la TB-MR ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la pneumonie, l'insuffisance respiratoire et la dissémination extrapulmonaire."
}
},
{
"@type": "Question",
"name": "La TB-MR peut-elle être mortelle ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, sans traitement approprié, la TB-MR peut entraîner la mort, surtout chez les immunodéprimés."
}
},
{
"@type": "Question",
"name": "Les complications affectent-elles le traitement ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les complications peuvent rendre le traitement plus difficile et prolonger la durée de la maladie."
}
},
{
"@type": "Question",
"name": "Y a-t-il des complications à long terme ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des complications comme des lésions pulmonaires peuvent persister même après le traitement."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont plus fréquentes chez les patients avec des formes avancées de la maladie."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent le VIH, la malnutrition, le tabagisme et les conditions de vie précaires."
}
},
{
"@type": "Question",
"name": "Le VIH augmente-t-il le risque de TB-MR ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le VIH affaiblit le système immunitaire, augmentant le risque de TB-MR."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées ont un risque accru en raison de la diminution de l'immunité."
}
},
{
"@type": "Question",
"name": "Le voyage dans des zones endommagées est-il un risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, voyager dans des zones à forte prévalence de TB-MR augmente le risque d'infection."
}
},
{
"@type": "Question",
"name": "Les travailleurs de la santé sont-ils à risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils sont exposés à des patients infectés, augmentant leur risque de contracter la TB-MR."
}
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To determine the ideal entry point and direction of retrograde intramedullary nailing of the tibia....
The imaging data of patients with distal tibial fractures from June 2020 to December 2021 in our hospital were collected, and computer-aided design was performed. The relevant data were imported into ...
The ideal entry point of the retrograde intramedullary nailing was located at the midpoint of the medial malleolus in the C-arm fluoroscopic anteroposterior (AP) and lateral view. The ideal nail entry...
The ideal point and direction of nail insertion for retrograde tibial intramedullary nailing is a "double midpoint, double axis" approach....
A theoretical numerical model is proposed to predict patient dependent osteoporotic bone degradation. The model parameters are identified through a particle swarm optimization algorithm and based on i...
Osteomyelitis is a bone inflammation that can be related to various infectious agents. As with any other type of inflammation, the prevailing symptoms and signs may include redness, swelling, pain, an...
A non-human immunodeficiency virus immunocompromised Greek female patient, 82 years old, visited the emergency department due to a 3 day pain located mainly over the left tibia's anterior surface, acc...
To our knowledge, this is the ninth cryptococcal osteomyelitis of the tibia to be recorded since 1974, and the most unusual finding was the bifocal nature of the infection, affecting both the tibia an...
To report the outcomes of patients with a fracture of the distal tibia who were treated with intramedullary nail versus locking plate in the five years after participating in the Fixation of Distal Ti...
The FixDT trial reported the results for 321 patients randomized to nail or locking plate fixation in the first 12 months after their injury. In this follow-up study, we report the results of 170 of t...
There was no evidence of a difference in patient-reported disability, health-related quality of life, or the need for further surgery between participants treated with either type of fixation at five ...
This study shows that the moderate levels of disability and reduced quality of life reported by participants 12 months after a fracture of the distal tibia persist in the medium term, with little evid...
Measuring the thickness of cortical bone tissue helps diagnose bone diseases or monitor the progress of different treatments. This type of measurement can be performed visually from CAT images by a ra...
Classical morphological and Deep Learning segmentation is used to extract the area of interest, filtering and interpolation to clean the bones and contour detection and Signed Distance Functions to me...
The method processed in an unattended manner 67% of the patients in the first run and 100% in the second run. The difference in the thickness values between the values provided by the algorithm and th...
Measuring the cortical thickness of a bone would allow us to prepare accurate traumatological surgeries or study their structural properties. Obtaining thickness profiles of an extensive set of patien...
The etiology of bone refractures after screw removal can be attributed to residual drill hole defects. This biomechanical study compared the torsional strength of bones containing various sized cortic...
Bicortical drill hole defects of 3 mm, 4 mm, and 5 mm diameters were tested in 26 composite tibias versus intact controls without a drill defect. Each tibia was secured in alignment with the rotationa...
All defect test groups were significantly lower (P < 0.01) in torque-to-failure than the intact group (82.80 ± 3.70 Nm). The 4 mm drill hole group was characterized by a significantly lower (P = 0.021...
All the tested drill hole sizes in this study significantly reduced the torque-to-failure from intact by a range of 28.4% to 38.4%, in agreement with previous similar studies. The 5 mm drill hole repr...
There are no formal practice guidelines for the surgical management of closed, Salter-Harris (SH) II distal tibia fractures. The purpose of this study was to survey the indications for operative and n...
We surveyed pediatric orthopedic surgeons at 20 tertiary care level-1 pediatric trauma centers. Surgeons were provided with 16 clinical scenarios that varied based on patient age and sex, and highligh...
In total, 33 of 37 surgeons completed the survey (89% response rate). All surgeons took trauma call at a level-1 pediatric trauma center and had an average of 8.8 years (SD: 6.5 y) of experience. Cons...
There is considerable variation regarding the indications for operative and nonoperative management of closed, SHII distal tibia fractures. Consensus was reached for nonoperative management in patient...
V....
Chondroblastoma considered a rare form of osseous neoplasm contributes less than 1% of all bone tumours. It is typically found in young patients with chief complaints of moderate pain with joint stiff...
Forensic anthropologists assess sex by analysing quantitative and qualitative characters of the human skeleton. In general, the pelvis and skull are the skeletal regions used most often, but in many c...
One of the major limitations of the 2D fracture evaluation (Schatzker classification) is its failure to adequately assess fracture lines in the frontal plane and fracture displacement in the antero-po...
Radiographic data of 228 proximal tibia fractures were retrospectively included in this study. Fracture lines and zones of comminution were graphically superimposed onto a 3D template of an intact tib...
Out of 206 male and 21 female patients, 89 had a fracture of the lateral condyle only (Schatzker I and II), 53 involved the medial plateau only (Schatzker IV) and 86 had a high-grade fracture involvin...
Medial tibial plateau fractures have a mix of coronal or sagittal fracture alignment. A clearer understanding of the 3D orientations of fractures based on CT scans can aid in diagnosing the pattern of...