Titre : Lyssavirus

Lyssavirus : Questions médicales fréquentes

Termes MeSH sélectionnés :

Clinical Decision-Making
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"position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes cliniques peuvent orienter le diagnostic, mais des tests sont nécessaires pour confirmation." } }, { "@type": "Question", "name": "Quel rôle joue l'historique d'exposition dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'historique d'exposition à des animaux potentiellement infectés est crucial pour le diagnostic." } }, { "@type": "Question", "name": "Les tests sanguins sont-ils utiles pour le Lyssavirus ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les tests sanguins ne sont pas fiables pour le diagnostic du Lyssavirus, privilégier le LCR." } }, { "@type": "Question", "name": "Quels sont les premiers symptômes de la rage ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les premiers symptômes incluent fièvre, maux de tête et malaise général." } }, { "@type": "Question", "name": "Comment évoluent les symptômes de la rage ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes évoluent vers des troubles neurologiques, agitation et paralysie." } }, { "@type": "Question", "name": "Y a-t-il des symptômes spécifiques à la phase terminale ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "À la phase terminale, on observe des convulsions, coma et décès par insuffisance respiratoire." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon l'espèce animale ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier selon l'espèce, mais les signes neurologiques sont communs." } }, { "@type": "Question", "name": "La rage peut-elle être asymptomatique ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Non, la rage ne présente pas de phase asymptomatique; les symptômes apparaissent après incubation." } }, { "@type": "Question", "name": "Comment prévenir l'infection par le Lyssavirus ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par la vaccination des animaux et l'évitement des contacts avec des animaux sauvages." } }, { "@type": "Question", "name": "La vaccination des animaux domestiques est-elle nécessaire ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la vaccination des animaux domestiques est cruciale pour prévenir la rage." } }, { "@type": "Question", "name": "Quelles mesures prendre après une morsure d'animal ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Il faut nettoyer la plaie, consulter un médecin et envisager une vaccination post-exposition." } }, { "@type": "Question", "name": "Les voyageurs doivent-ils se faire vacciner ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les voyageurs dans des zones à risque doivent envisager la vaccination contre la rage." } }, { "@type": "Question", "name": "Les traitements préventifs sont-ils efficaces ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les traitements préventifs sont très efficaces s'ils sont administrés rapidement après exposition." } }, { "@type": "Question", "name": "Quel est le traitement principal après exposition au Lyssavirus ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est la vaccination post-exposition et l'immunoglobuline antirabique." } }, { "@type": "Question", "name": "Y a-t-il un traitement antiviral pour la rage ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Il n'existe pas de traitement antiviral efficace une fois les symptômes apparus." } }, { "@type": "Question", "name": "Comment se déroule la vaccination post-exposition ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "La vaccination post-exposition se fait en plusieurs doses, généralement sur 14 jours." } }, { "@type": "Question", "name": "Les soins de soutien sont-ils importants ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les soins de soutien sont essentiels pour gérer les symptômes et améliorer le confort." } }, { "@type": "Question", "name": "Peut-on guérir de la rage une fois les symptômes présents ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Non, la rage est presque toujours mortelle une fois les symptômes cliniques apparus." } }, { "@type": "Question", "name": "Quelles sont les complications possibles de la rage ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des troubles neurologiques, des infections secondaires et la mort." } }, { "@type": "Question", "name": "La rage peut-elle entraîner des séquelles ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des séquelles neurologiques peuvent persister chez les survivants après traitement précoce." } }, { "@type": "Question", "name": "Quels sont les risques de transmission secondaire ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Le risque de transmission secondaire est faible, mais possible par contact avec des fluides corporels." } }, { "@type": "Question", "name": "Les complications sont-elles plus graves chez certains groupes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les enfants et les personnes immunodéprimées peuvent avoir des complications plus graves." } }, { "@type": "Question", "name": "Comment les complications affectent-elles le pronostic ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les complications neurologiques sévères diminuent considérablement le pronostic de survie." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque d'infection ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les principaux facteurs incluent l'exposition à des animaux sauvages et le manque de vaccination." } }, { "@type": "Question", "name": "Les personnes travaillant avec des animaux sont-elles à risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les vétérinaires et les travailleurs animaliers sont à risque accru d'exposition au virus." } }, { "@type": "Question", "name": "Les zones géographiques influencent-elles le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque est plus élevé dans les régions où la rage est endémique chez les animaux." } }, { "@type": "Question", "name": "Les enfants sont-ils plus vulnérables ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les enfants sont plus vulnérables en raison de leur comportement et de leur curiosité." } }, { "@type": "Question", "name": "Le statut vaccinal influence-t-il le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un statut vaccinal inapproprié augmente considérablement le risque d'infection." } } ] } ] }

Sources (10000 au total)

Use of a Novel Clinical Decision-Making Tool in Vestibular Schwannoma Treatment.

To determine the usefulness of a personalized tool and its effect on the decision-making process for those with vestibular schwannoma (VS).... Prospective study.... Single institution, academic tertiary care lateral skull base surgery program.... Patients diagnosed with VS.... A comprehensive clinical decision support (CDS) tool was constructed from a previously published retrospective patient-reported data obtained from members of the Acoustic Neuroma Association from Janu... Pre- and posttool questionnaires assessing the process of deciding treatment for VS using a decisional conflict scale (DCS) and satisfaction with decision (SWD) scale were compared.... A pilot study of 33 patients evaluated at a single institution tertiary care center with mean ± SD age of 63.9 ± 13.5 years and with average tumor size of 7.11 ± 4.75 mm were surveyed. CDS implementat... Implementing a decision-making tool after diagnosis of VS reduced decisional conflict and improved satisfaction with decision. Patients considered the tool to be an aid to their medical knowledge, fur...

The influence of defaecating proctograms on clinical decision-making in pelvic floor disorders.

Defaecating proctogram (DP) studies have become an integral part of the evaluation of patients with pelvic floor disorders. However, their impact on treatment decision-making remains unclear. The aim ... Four colorectal surgeons were presented with online surveys containing the complete history, examination and investigations of 106 de-identified pelvic floor patients who had received one of three tre... After the addition of the DP results; treatment choice changed in 219 (52%) of 424 surgical decisions and interrater agreement improved significantly from κ = 0.26 to κ = 0.39. Three of the four surge... The DP improves interclinician agreement in the management of pelvic floor disorders and enhances the confidence in treatment decisions. Intra-anal rectal prolapse was the most influential DP paramete...

Examining the impact of virtual reality on clinical decision making - An integrative review.

Clinical decision making is an essential cognitive skill in nursing. It is a process undertaken daily by nurses as they make judgements about patient care and manage complex issues as they arise. Virt... The objective of this integrative review are to synthesise the research findings regarding the impact of virtual reality on clinical decision making in undergraduate nurses.... An integrative review using Whittemore and Knafl's framework for integrated reviews.... An extensive search was conducted of healthcare databases including CINAHL, Medline and Web of Science between 2010 and 2021 using the terms virtual reality, clinical decision and undergraduate nursin... The initial search located 98 articles. After screening and checking for eligibility, 70 articles were critically reviewed. Eighteen studies were included in the review and were critically appraised u... Research in the use of VR has demonstrated its potential to improve undergraduate nurses' critical thinking, clinical reasoning, clinical judgement and clinical decision-making skills. Students percei... Current research on the impact of virtual reality on the development of nursing CDM has demonstrated positive results. VR is one pedagogical approach that could further assist, however, there are no i...

Nursing Students' Fear of Negative Evaluation and Perceptions of Clinical Decision-Making.

Nursing is a profession based on theoretical knowledge and practice, and the clinical decision-making process is important. Many factors affect the fear of negative evaluation, and fear of a negative ... This descriptive cross-sectional study included undergraduate nursing students (... Nursing students' fear of a negative evaluation and clinical decision-making scale scores were 31.92 ± 08.51 and 149.18 ± 13.67, respectively. No significant relationship was identified between the sc... The fear of a negative evaluation was not associated with nursing students' perceptions of clinical decision-making. To reduce nursing students' fear of a negative evaluation and improve their clinica...

Clinical decision making under uncertainty: a bootstrapped counterfactual inference approach.

Learning policies for decision-making, such as recommending treatments in clinical settings, is important for enhancing clinical decision-support systems. However, the challenge lies in accurately eva... We develop counterfactual policy learning algorithms for practical clinical applications to suggest viable treatment for patients. We first design a bootstrap method for counterfactual assessment and ... The efficacy of our algorithms was validated using both semi-synthetic and real-world clinical datasets. Our method outperforms baseline algorithms, reducing the variance in policy evaluation by 30% a... This study demonstrates the effectiveness of combining bootstrap and adversarial learning techniques in policy learning for clinical decision support. It not only enhances the accuracy and reliability...

Incorporating Expected Outcomes Into Clinical Decision-Making for Total Knee Arthroplasty.

Expected outcomes (e.g., expected survivorship after a cancer treatment) have improved decision-making around treatment options in many clinical fields. Our objective was to evaluate the effect of exp... The RAND/University of California Los Angeles appropriateness criteria method was used to evaluate the role of the 3 expected outcomes in clinical recommendation of TKA. The expected outcomes were add... Ratings for the 279 appropriateness scenarios deemed 34.4% of the scenarios as appropriate, 40.1% as inconclusive, and 25.5% as inappropriate. Classification tree analyses showed that expected improve... Our results showed that clinicians would use expected postoperative outcome factors in determining appropriateness for TKA. These results call for further work in this area to incorporate estimates of...