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"@type": "Question",
"name": "Comment diagnostiquer une dissection vertébrale ?",
"position": 1,
"acceptedAnswer": {
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"text": "Un examen par imagerie, comme l'IRM ou l'angioscanner, est essentiel pour le diagnostic."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer une dissection ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'angiographie et l'IRM sont les tests les plus courants pour confirmer la dissection."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une dissection vertébrale ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs cervicales, des vertiges ou des déficits neurologiques peuvent indiquer une dissection."
}
},
{
"@type": "Question",
"name": "La dissection vertébrale est-elle visible à l'échographie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'échographie peut parfois montrer des anomalies, mais l'IRM est plus précise."
}
},
{
"@type": "Question",
"name": "Quels sont les critères de risque pour le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de traumatismes ou de migraines peuvent augmenter le risque de dissection."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants d'une dissection vertébrale ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des douleurs au cou, des maux de tête et des troubles de la vision."
}
},
{
"@type": "Question",
"name": "La dissection vertébrale cause-t-elle des vertiges ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les vertiges sont fréquents en raison de l'irrigation sanguine altérée du cerveau."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des symptômes neurologiques ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des symptômes comme des engourdissements ou des faiblesses peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les douleurs sont-elles toujours présentes ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, certaines personnes peuvent ne pas ressentir de douleur au début de la dissection."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils varier d'une personne à l'autre ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier en fonction de la gravité et de la localisation de la dissection."
}
},
{
"@type": "Question",
"name": "Comment prévenir une dissection vertébrale ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les traumatismes au cou et gérer les facteurs de risque comme l'hypertension."
}
},
{
"@type": "Question",
"name": "Les activités sportives augmentent-elles le risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines activités à risque, comme le rugby, peuvent augmenter le risque de dissection."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il le risque ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme est un facteur de risque connu pour les maladies vasculaires."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies vasculaires peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Faut-il surveiller la santé cardiovasculaire ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un suivi régulier de la santé cardiovasculaire est essentiel pour prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal pour une dissection vertébrale ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal inclut des anticoagulants pour prévenir les caillots sanguins."
}
},
{
"@type": "Question",
"name": "La chirurgie est-elle nécessaire pour traiter une dissection ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est rare et réservée aux cas graves avec complications significatives."
}
},
{
"@type": "Question",
"name": "Combien de temps dure le traitement médicamenteux ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement médicamenteux peut durer plusieurs mois, selon l'évolution de la condition."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non médicamenteux ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation physique peut être recommandée pour améliorer la fonction après la dissection."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés en cas de douleur ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques comme le paracétamol ou les anti-inflammatoires peuvent être prescrits."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une dissection vertébrale ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent les AVC, les déficits neurologiques et la douleur chronique."
}
},
{
"@type": "Question",
"name": "La dissection peut-elle entraîner un AVC ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une dissection vertébrale peut provoquer un AVC ischémique en raison d'un caillot."
}
},
{
"@type": "Question",
"name": "Les déficits neurologiques sont-ils réversibles ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cela dépend de la gravité de la dissection et du temps de traitement; certains peuvent être réversibles."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des douleurs chroniques après une dissection ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs chroniques au cou ou à la tête peuvent persister après la guérison."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de récidive ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il existe un risque de récidive, surtout si les facteurs de risque ne sont pas contrôlés."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hypertension, le tabagisme, et des antécédents de traumatismes."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque de dissection ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge, surtout chez les personnes de plus de 50 ans."
}
},
{
"@type": "Question",
"name": "Les maladies génétiques augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines maladies génétiques, comme le syndrome d'Ehlers-Danlos, augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le stress a-t-il un impact sur le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut contribuer à des problèmes vasculaires, augmentant le risque."
}
},
{
"@type": "Question",
"name": "Les antécédents de migraines sont-ils un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes ayant des antécédents de migraines peuvent avoir un risque accru."
}
}
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}
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Sacubitril/valsartan has been demonstrated to reduce blood pressure in hypertensive patients, but the best dose remains unclear. We performed this network meta-analysis to determine the comparative ef...
We searched four databases for relevant studies published before January 2022. Mean systolic and diastolic blood pressures in the sitting position (msSBP and msDBP) and ambulatory condition (24-h maSB...
In hypertensive patients, 200 mg once daily of sacubitril/valsartan may exert a greater reduction in ambulatory blood pressure than 100 mg once daily and 200 mg once daily may not be inferior to 400 m...
Odontogenic keratocysts (OKC) are benign but aggressive lesions. As there is a lack of well randomized clinical studies assessing the effectiveness of the different treatment options for OKC, a networ...
To analyze and compare the effects of herbal medicines (HMs) for treating different forms of rhinosinusitis....
Forty-seven randomized controlled trials evaluating 18 HMs in six different rhinosinusitis populations were included in the network meta-analysis. Certainty of evidence was assessed using the Grading ...
PROSPERO ID: CRD42022328265 May 10, 2022....
Several studies investigated the effectiveness and the safety of different doses of pregabalin in fibromyalgia. However, the optimal protocol remains controversial. A Bayesian network meta-analysis co...
Network meta-analysis (NMA) is an increasingly popular statistical method of synthesising evidence to assess the comparative benefits and harms of multiple treatments in a single analysis. Several aut...
There are limited pooled data showing the impact of visceral metastasis on oncologic outcomes in metastatic prostate cancer patients treated with combination systemic therapies. We aimed to analyze an...
Three databases were queried in July 2022 for randomized, controlled trials analyzing metastatic prostate cancer patients treated with combination systemic therapy (androgen receptor signaling inhibit...
Overall, 12 and 8 randomized, controlled trials were included for systematic review and meta-analyses/network meta-analyses, respectively. In metastatic hormone-sensitive prostate cancer patients, add...
Despite aggressive clinical behavior and worse trajectory of metastatic hormone-sensitive prostate cancer and metastatic castration-resistant prostate cancer with visceral metastasis, the effectivenes...
Although aggregate data (AD) from randomised clinical trials (RCTs) are used in the majority of network meta-analyses (NMAs), other study designs (e.g., cohort studies and other non-randomised studies...
We developed the R package crossnma to perform cross-format (IPD and AD) and cross-design (RCT and NRS) NMA and network meta-regression (NMR). The models are implemented as Bayesian three-level hierar...
The R package crossnma enables the user to perform NMA and NMR with different data types in a Bayesian framework and facilitates the inclusion of all types of evidence recognising differences in risk ...
Appendicectomy remains the standard treatment for appendicitis. There is a lack of clarity on the timeframe in which surgery should be performed to avoid unfavourable outcomes....
To perform a systematic review and network meta-analysis to evaluate the impact the (1)time-of-day surgery is performed (2), time elapsed from symptom onset to hospital presentation (patient time) (3)...
A systematic review was performed as per PRISMA-NMA guidelines. The time-of-day which surgery was done was divided into day, evening and night. The other groups were divided into < 24 h, 24-48 h and >...
Sixteen studies were included with a total of 232,678 patients. The time of day at which surgery was performed had no impact on outcomes. The incidence of complicated appendicitis, post-operative comp...
Appendicectomy within 24 h of hospital admission is associated with improved outcomes compared to patients having surgery 24-48 and > 48 h after admission. The time-of-day which surgery is performed d...
Preeclampsia (PE) is a pregnancy disorder that represents a major cause of maternal and perinatal morbidity and mortality....
This network meta-analysis was registered with PROSPERO. We searched the PubMed, ClinicalTrials.gov. and Embase databases for studies published from inception to the 31...
We included eight randomized controlled trials (RCTs) involving a total of 1192 women with PE; two studies were of high quality and six were of moderate quality. Eight interventions were addressed in ...
According to the eight RCTs included in this study, Diltiazem was the most effective in reducing blood pressure in PE patients; Labetalol and Nicardipine also had good effects. Diltiazem is preferred ...
The aims of this study were to systematically review the literature and compare the relative effects of various luting agents on bonding between glass-fiber posts and root canal dentin in short- and l...
The literature was electronically searched in PubMed, Embase, and Scopus. A manual search was performed by scanning the reference lists of the included studies....
Two reviewers independently conducted the selection of studies, data extraction, and risk of bias assessment. Pairwise meta-analyses were based on random effect models. Network meta-analyses were cond...
One hundred and eighteen studies were included and assessed the effects of five luting agents. For pairwise meta-analyses, in short-term aging conditions, a significantly higher bond strength of self-...
The SARC tended to be the most effective luting agent in bonding between glass-fiber posts and root canal dentin in short- and long-term aging conditions....