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"headline": "Diagnostic sur Shiga-toxine",
"description": "Comment diagnostiquer une infection par Shiga-toxine ?\nQuels tests sont utilisés pour la Shiga-toxine ?\nQuels symptômes indiquent une infection par Shiga-toxine ?\nLa Shiga-toxine peut-elle être confondue avec d'autres infections ?\nQuels sont les critères de gravité pour la Shiga-toxine ?",
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"description": "Quels sont les principaux facteurs de risque ?\nLes personnes âgées sont-elles plus à risque ?\nLes personnes immunodéprimées sont-elles vulnérables ?\nLe stress peut-il influencer le risque d'infection ?\nLes antécédents d'infections augmentent-ils le risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer une infection par Shiga-toxine ?",
"position": 1,
"acceptedAnswer": {
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"text": "Le diagnostic repose sur des tests de laboratoire pour détecter la présence de la toxine dans les selles."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour la Shiga-toxine ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests PCR et les cultures de selles sont couramment utilisés pour identifier la toxine."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une infection par Shiga-toxine ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent diarrhée sanglante, douleurs abdominales et parfois fièvre."
}
},
{
"@type": "Question",
"name": "La Shiga-toxine peut-elle être confondue avec d'autres infections ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut être confondue avec d'autres infections gastro-intestinales comme la salmonellose."
}
},
{
"@type": "Question",
"name": "Quels sont les critères de gravité pour la Shiga-toxine ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gravité est évaluée par la présence de complications comme le syndrome hémolytique et urémique."
}
},
{
"@type": "Question",
"name": "Quels sont les premiers symptômes de l'infection ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les premiers symptômes incluent des crampes abdominales et de la diarrhée aqueuse."
}
},
{
"@type": "Question",
"name": "La diarrhée est-elle toujours présente ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la diarrhée peut ne pas être présente chez tous les patients infectés par la Shiga-toxine."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer une complication ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme une diminution de la production d'urine et une fatigue extrême peuvent indiquer des complications."
}
},
{
"@type": "Question",
"name": "La fièvre est-elle fréquente avec la Shiga-toxine ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "La fièvre est possible mais pas systématique; elle est souvent légère si présente."
}
},
{
"@type": "Question",
"name": "Les symptômes persistent-ils longtemps ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes peuvent durer de quelques jours à plusieurs semaines, selon la gravité."
}
},
{
"@type": "Question",
"name": "Comment prévenir l'infection par Shiga-toxine ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par une bonne hygiène alimentaire et le lavage des mains."
}
},
{
"@type": "Question",
"name": "Les aliments crus sont-ils un risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la consommation d'aliments crus, notamment de viande hachée, augmente le risque d'infection."
}
},
{
"@type": "Question",
"name": "Le lavage des mains est-il important ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, se laver les mains régulièrement, surtout après avoir manipulé des aliments, est crucial."
}
},
{
"@type": "Question",
"name": "Les voyages peuvent-ils augmenter le risque ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, voyager dans des régions avec de mauvaises conditions sanitaires augmente le risque d'infection."
}
},
{
"@type": "Question",
"name": "Les enfants sont-ils plus à risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les enfants, en particulier ceux de moins de 5 ans, sont plus vulnérables aux infections."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal pour l'infection ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est la réhydratation, souvent par voie intraveineuse si nécessaire."
}
},
{
"@type": "Question",
"name": "Les antibiotiques sont-ils efficaces contre la Shiga-toxine ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antibiotiques ne sont généralement pas recommandés car ils peuvent aggraver la maladie."
}
},
{
"@type": "Question",
"name": "Quand faut-il hospitaliser un patient ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hospitalisation est nécessaire en cas de déshydratation sévère ou de complications graves."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements spécifiques pour les complications ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des traitements comme la dialyse peuvent être nécessaires pour les complications rénales."
}
},
{
"@type": "Question",
"name": "Comment surveiller l'évolution de la maladie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La surveillance clinique et des tests de laboratoire réguliers sont essentiels pour évaluer l'évolution."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la Shiga-toxine ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent le syndrome hémolytique et urémique, des insuffisances rénales et neurologiques."
}
},
{
"@type": "Question",
"name": "Comment se manifeste le syndrome hémolytique et urémique ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il se manifeste par une anémie, une thrombocytopénie et une insuffisance rénale aiguë."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications surviennent chez environ 5 à 10 % des cas d'infection par Shiga-toxine."
}
},
{
"@type": "Question",
"name": "Quel est le pronostic des complications ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le pronostic dépend de la rapidité du traitement; certaines complications peuvent être graves."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles survenir après la guérison ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines complications, comme des problèmes rénaux, peuvent apparaître après la guérison initiale."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les principaux facteurs incluent la consommation d'aliments contaminés et le contact avec des personnes infectées."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées ont un risque accru de complications graves liées à la Shiga-toxine."
}
},
{
"@type": "Question",
"name": "Les personnes immunodéprimées sont-elles vulnérables ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes immunodéprimées courent un risque plus élevé de développer des infections graves."
}
},
{
"@type": "Question",
"name": "Le stress peut-il influencer le risque d'infection ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress n'est pas un facteur direct, mais il peut affaiblir le système immunitaire, augmentant le risque."
}
},
{
"@type": "Question",
"name": "Les antécédents d'infections augmentent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents d'infections gastro-intestinales peuvent augmenter la susceptibilité à la Shiga-toxine."
}
}
]
}
]
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There is limited research on the effectiveness of orthopedic robot-assisted treatment for sarcopenia combined with femoral neck fractures (FNF) in clinical settings. This study aimed to compare the cl...
The retrospective study included patients with FNF under the age of 65 who were admitted to the Department of Orthopedics at XX Hospital Affiliated to XX University between January 2019 and March 2022...
A total of 127 participants were enrolled in this study, with 46 individuals in the RG group and 81 in the FG group. Across both groups, factors such as gender, age, SMI, injury sides, Garden classifi...
Spinal and bulbar muscular atrophy (SBMA) progressively impairs gait function, resulting in the need for patients to use a wheelchair approximately 20 years after onset. No reports have investigated t...
The medial unicompartmental knee arthroplasty (mUKA) has been recognized as an excellent treatment for medial knee osteoarthritis. The posterior tibial slope (PTS) is measured radiographically with th...
Evaluate the PTS difference between the sagittal TMA and the sagittal IMA of patients undergoing a CT-based primary Robotic-Assisted mUKA....
We retrospectively reviewed the preoperative CT scans taken according to the MAKO system protocol (Stryker) of 67 patients undergoing mUKAs. We measured the angular difference between the IM and the T...
Using the TMA to set the PTS the estimation of the slope of the medial tibial plateau would increase by an average of 1.9° ± 3.2° compared to the IMA. Furthermore, in 9 knees, PTS was decreased....
Tibial components implanted with the help of a CT scan-based pre-operative planning MAKO will show an average of 1.9 degrees more than those measured on sagittal radiographs potentially of concern for...
Comparative outcomes of robotic low anterior resection (rTME) and trans-anal total mesorectal excision (TaTME) in patients with low rectal cancer were evaluated....
A systematic online search was conducted using the following databases: PubMed, Scopus, Cochrane database, The Virtual Health Library, Clinical trials.gov and Science Direct. Comparative studies of rT...
A total of 12 studies with a total number of 3025 patients divided between rTME (n = 1881) and TaTME (n = 1144) groups were included. There was no significant difference between the two groups for tot...
Compared with TaTME, rTME seems to provide better functional outcomes, higher lymph node yield and more complete TME resections with a similar post-operative complications profile....
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by persistent deficits in social communication, social interaction, and restricted behaviors. The importance of early inte...
We developed a training protocol using the humanoid robot NAO, called IOGIOCO (Interactive mirroring Games wIth sOCial rObot), based on the use of intransitive gestures embedded in naturalistic dialog...
We demonstrated the tolerability of the protocol. We found that one group (n=4, males and 2 females) reached the training level, while another and group (n=6 males) remained at a familiarization level...
While current results will need a Randomized Controlled Trial to be confirmed, the present work sets an important milestone in using social robots for ASD treatment, aimed at impacting social and comm...
Surgical video review is an emerging tool for assessing patient outcomes, especially in complex surgeries such as robot-assisted partial nephrectomy (RAPN). Assessing and measuring warm ischaemia time...
We evaluated 32 surgical video recordings from patients undergoing RAPN and measured WIT, ExcT, RecT and IntT with a stopwatch. Factors such as tumour characteristics and surgeon experience were also ...
We recorded a median WIT of 1,048 s (17 min and 28 s). The median of ExcT, RecT and IntT was 398 s (37.1% of WIT), 518 s (46.7% of WIT) and 180 s (16.2% of WIT), respectively. We found a significant c...
Tumour morphology influences all surgical times, and surgeon experience influences only ExcT. We observed a short RecT during RAPN though at the cost of increased ExcT, and we believe that improving s...
The influence of anatomical parameters on urinary continence (UC) after Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) remains uncharted. Our objective was to evaluate their associatio...
Robotic-assisted Total Knee Arthroplasty (TKA) was designed to improve implant position accuracy by providing surgeons with real-time intra-operative data to tailor the operation to the patient. Propo...
All patients who had undergone unilateral MAKO® ERAS Day Surgery TKA from August 2020 to July 2021 were prospectively followed up and matched to patients who underwent conventional ERAS Day Surgery TK...
42 patients underwent MAKO® ERAS Day surgery TKA and were matched to 42 patients who underwent conventional ERAS Day surgery TKA. The study found that despite the longer surgical duration, LOS was com...
ERAS Day Surgery protocol can significantly reduce the LOS of patient undergoing MAKO® Robotic-arm Assisted TKA, conferring cost savings and making it a valid option for patients....
Robotics has increased rates of minimally invasive surgery, with distinct advantages over open surgery. However, current commercially available robotic platforms have device and system issues that lim...
To demonstrate the safety and efficacy of a novel miniaturized robotic assisted surgery device in colectomy....
Prospective, Investigational Device Exemption clinical study following the idea, development, exploration, assessment, and long-term follow-up (IDEAL) framework (Stage 2b, exploration)....
Three centers with high-volume robotic colorectal cases and surgeons....
Patients scheduled for a right or left colectomy for benign or malignant disease....
Colectomy with the novel miniaturized robotic assisted surgery device....
For safety, intraoperative and device-related adverse events and 30-day morbidity. For efficacy, successful completion of pre-defined procedural steps without conversion....
Thirty patients (13 female, 17 male) were analyzed. The mean age was 59.4 (SD 13.4) years. Seventy percent (n = 21) were overweight/obese and 53.3% (n = 16) had prior abdominal surgery. Forty percent ...
Single arm study, short-term follow-up....
This first clinical study of a novel miniaturized robotic-assisted surgery device along the IDEAL framework demonstrated it was safe and effective. Given this success, further assessment and long-term...
Although a trend of an improved alignment with robotic total hip arthroplasty (THA) over conventional methods has surfaced from recent series, it is unknown whether these results translate into meanin...
Records were extracted from 2016-2019 from the National Inpatient Sample (NIS) database Healthcare Cost and Utilization Project which is the largest in-patient database in the United States. From 367,...
Demographic distributions between robotic and conventional THA groups displayed similar age and sex characteristics. Shorter mean lengths of stay (1.87 days) were seen in robotic THA versus convention...
Evidence has emerged from our results to support more routine adaptation of the robotic option of performing a THA. These can be based on lower local, systemic, and mechanical complications as demonst...