Déterminants sociaux de la santé : Questions médicales fréquentes
Nom anglais: Social Determinants of Health
Descriptor UI:D064890
Tree Number:N01.400.675
Termes MeSH sélectionnés :
Microcirculation
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"headline": "Diagnostic sur Déterminants sociaux de la santé",
"description": "Comment évaluer l'impact des déterminants sociaux sur la santé ?\nQuels outils mesurent les déterminants sociaux de la santé ?\nQuels indicateurs sont utilisés pour le diagnostic social ?\nComment les inégalités sociales affectent-elles la santé ?\nQuel rôle joue l'environnement dans le diagnostic social ?",
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"description": "Quelles stratégies de prévention ciblent les déterminants sociaux ?\nComment sensibiliser aux déterminants sociaux de la santé ?\nQuel rôle des communautés dans la prévention ?\nComment les politiques publiques influencent-elles la prévention ?\nQuels programmes de prévention sont efficaces ?",
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"description": "Comment adapter les traitements aux déterminants sociaux ?\nQuels traitements sont efficaces pour les populations défavorisées ?\nComment les services de santé peuvent-ils réduire les inégalités ?\nQuel rôle joue l'éducation dans le traitement des maladies ?\nComment les politiques de santé influencent-elles les traitements ?",
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"description": "Quelles complications sont liées aux inégalités sociales ?\nComment les déterminants sociaux aggravent-ils les maladies ?\nQuels sont les effets à long terme des déterminants sociaux ?\nComment prévenir les complications liées aux déterminants sociaux ?\nLes complications de santé sont-elles évitables ?",
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"headline": "Facteurs de risque sur Déterminants sociaux de la santé",
"description": "Quels sont les principaux facteurs de risque sociaux ?\nComment l'éducation influence-t-elle les facteurs de risque ?\nQuel impact a l'emploi sur la santé ?\nComment l'environnement social affecte-t-il la santé ?\nQuels facteurs de risque sont liés à l'accès aux soins ?",
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"@type": "Question",
"name": "Comment évaluer l'impact des déterminants sociaux sur la santé ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'impact peut être évalué par des études épidémiologiques et des enquêtes sociales."
}
},
{
"@type": "Question",
"name": "Quels outils mesurent les déterminants sociaux de la santé ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des questionnaires standardisés et des indices de conditions de vie sont utilisés."
}
},
{
"@type": "Question",
"name": "Quels indicateurs sont utilisés pour le diagnostic social ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les indicateurs incluent le revenu, l'éducation, et l'accès aux soins de santé."
}
},
{
"@type": "Question",
"name": "Comment les inégalités sociales affectent-elles la santé ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les inégalités sociales peuvent entraîner des disparités dans l'accès aux soins et la santé."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'environnement dans le diagnostic social ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'environnement physique et social influence la santé par l'accès aux ressources."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer des déterminants sociaux défavorables ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes de stress, dépression ou maladies chroniques peuvent apparaître."
}
},
{
"@type": "Question",
"name": "Comment la pauvreté affecte-t-elle la santé mentale ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La pauvreté peut entraîner une augmentation de l'anxiété et de la dépression."
}
},
{
"@type": "Question",
"name": "Quels symptômes physiques sont liés à des conditions sociales ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des maladies comme l'hypertension et le diabète peuvent être exacerbées par des conditions sociales."
}
},
{
"@type": "Question",
"name": "Les inégalités sociales provoquent-elles des symptômes spécifiques ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent entraîner des symptômes de maladies évitables et chroniques."
}
},
{
"@type": "Question",
"name": "Comment l'accès limité aux soins se manifeste-t-il ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il se manifeste par des symptômes non traités et des complications de santé."
}
},
{
"@type": "Question",
"name": "Quelles stratégies de prévention ciblent les déterminants sociaux ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des programmes d'éducation, d'accès aux soins et de soutien communautaire sont essentiels."
}
},
{
"@type": "Question",
"name": "Comment sensibiliser aux déterminants sociaux de la santé ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Par des campagnes d'information et des formations pour les professionnels de santé."
}
},
{
"@type": "Question",
"name": "Quel rôle des communautés dans la prévention ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les communautés peuvent mobiliser des ressources et créer des réseaux de soutien."
}
},
{
"@type": "Question",
"name": "Comment les politiques publiques influencent-elles la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent promouvoir l'équité en santé et améliorer l'accès aux services."
}
},
{
"@type": "Question",
"name": "Quels programmes de prévention sont efficaces ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les programmes intégrés qui abordent plusieurs déterminants sociaux sont les plus efficaces."
}
},
{
"@type": "Question",
"name": "Comment adapter les traitements aux déterminants sociaux ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements doivent tenir compte des ressources et des conditions de vie des patients."
}
},
{
"@type": "Question",
"name": "Quels traitements sont efficaces pour les populations défavorisées ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les programmes de santé communautaire et les interventions ciblées sont efficaces."
}
},
{
"@type": "Question",
"name": "Comment les services de santé peuvent-ils réduire les inégalités ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "En offrant des soins accessibles et adaptés aux besoins des populations vulnérables."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'éducation dans le traitement des maladies ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'éducation améliore l'adhésion aux traitements et la gestion des maladies."
}
},
{
"@type": "Question",
"name": "Comment les politiques de santé influencent-elles les traitements ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles déterminent l'accès aux soins et les ressources disponibles pour les traitements."
}
},
{
"@type": "Question",
"name": "Quelles complications sont liées aux inégalités sociales ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des maladies chroniques non traitées et des décès prématurés."
}
},
{
"@type": "Question",
"name": "Comment les déterminants sociaux aggravent-ils les maladies ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent entraîner un accès limité aux soins et une mauvaise gestion des maladies."
}
},
{
"@type": "Question",
"name": "Quels sont les effets à long terme des déterminants sociaux ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent mener à des problèmes de santé persistants et à une qualité de vie réduite."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications liées aux déterminants sociaux ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "En améliorant l'accès aux soins et en renforçant les réseaux de soutien communautaire."
}
},
{
"@type": "Question",
"name": "Les complications de santé sont-elles évitables ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, de nombreuses complications peuvent être évitées par des interventions précoces."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque sociaux ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent la pauvreté, le manque d'éducation et l'isolement social."
}
},
{
"@type": "Question",
"name": "Comment l'éducation influence-t-elle les facteurs de risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une éducation supérieure est associée à une meilleure santé et à des comportements préventifs."
}
},
{
"@type": "Question",
"name": "Quel impact a l'emploi sur la santé ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un emploi stable améliore la santé mentale et physique, réduisant les risques."
}
},
{
"@type": "Question",
"name": "Comment l'environnement social affecte-t-il la santé ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un environnement social positif favorise le bien-être et réduit les risques de maladies."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque sont liés à l'accès aux soins ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le manque d'accès aux soins médicaux et préventifs augmente les risques de maladies."
}
}
]
}
]
}
Workload and sex-related differences have been proposed as factors of importance when evaluating the microcirculation. Simultaneous assessments with diffuse reflectance spectroscopy (DRS) and laser Do...
In 24 healthy participants (aged 20 to 30 years, 12 females), cutaneous microcirculation was assessed by LDF and DRS at baseline, during a workload generated by cycling at 75 to 80 % of maximal age-pr...
Females had significantly lower RBC tissue fraction and total perfusion in forearm skin microcirculation at all phases (baseline, workload, and recovery). All microvascular parameters increased signif...
Compared to a resting state, all studied microcirculation measures increased during cycling. For perfusion, this was mainly due to increased speed, and only to a minor extent due to increased RBC tiss...
This review outlines the features of tandem regulation of glomerular microcirculation by autoregulatory mechanisms and intraglomerular redistribution of blood flow. Multiple points of cooperation exis...
Coronary microvascular endothelial cells (CMECs) react to changes in coronary blood flow and myocardial metabolites and regulate coronary blood flow by balancing vasoconstrictors-such as endothelin-1-...
Non-obstructive coronary arteries (NOCA) are present in 39.7% to 62.4% of patients who undergo elective angiography. Coronary microcirculation (<400 µm) is not visible on angiography therefore functio...
In this review, we revisit the pathophysiology, clinical importance, and invasive assessment of the coronary microcirculation, and discuss angiography-derived indices of microvascular resistance. A co...
The coronary microvasculature plays an important role in flow autoregulation and metabolic regulation. Invasive assessment of microvascular resistance is a validated modality with independent prognost...
The study aims to assess the alterations in retinal oxygen saturation and retinal and choroidal blood flow in lipemia retinalis....
This was a cross-sectional study on 10 eyes (5 patients) with history of lipemia retinalis. The study comprised 10 eyes with documented history of lipemia retinalis and 10 participants as healthy cont...
Patients with untreated lipemia retinalis had a significantly higher retinal arteriolar and venular oxygen saturation than that of the other two groups (p < 0.001). Moreover, patients with untreated l...
There was a significant alteration in retinal oximetry, in untreated lipemia retinalis, and in retinal blood flow, in both the resolved and untreated groups. The increase in retinal blood flow and oxy...
Shock is a life-threatening condition characterized by substantial alterations in the microcirculation. This study tests the hypothesis that considering sublingual microcirculatory perfusion variables...
This randomized, prospective clinical multicenter trial-recruited patients with an arterial lactate value above two mmol/L, requiring vasopressors despite adequate fluid resuscitation, regardless of t...
Overall, we included 141 patients with cardiogenic (n = 77), post cardiac surgery (n = 27), or septic shock (n = 22). 69 patients were randomized to the intervention and 72 to routine care. No serious...
Integrating sublingual microcirculatory perfusion variables in the therapy plan resulted in treatment changes that do not improve survival at all....
This study assessed the association between changes in sublingual microcirculation after a spontaneous breathing trial (SBT) and successful extubation....
Sublingual microcirculation was assessed using an incident dark-field video microscope before and after each SBT and before extubation. Microcirculatory parameters before the SBT, at the end of the SB...
Forty-seven patients were enrolled and analysed in this study (34 patients in the successful extubation group and 13 patients in the failed extubation group). At the end of the SBT, the weaning parame...
More patients are required to investigate the difference between baseline microcirculation before a successful SBT and the change in microcirculation at the end of the SBT between the successful and f...
Current ultrasound (US) Doppler techniques cannot demonstrate the vascularization of the dermis. The purpose of this study was to investigate whether the new Superb Vascular Imaging (SMI) and Microvas...
By using US, 50 healthy volunteers were evaluated at level of five body areas: forehead, forearm, palm, buttock, and thigh. Two off-site operators evaluated the images to assess the difference between...
SMI scored grade 0 in 0% of body areas, grade 1 in 58%, grade 2 in 33%, and grade 3 in 9%. In comparison with SMI, PD scored grade 0 in 38% of body areas, grade 1 in 56%, grade 2 in 6%, and grade 3 in...
We found both SMI and MV-Flow to be superior to PD imaging and capable to demonstrate normal vascularization of the dermis....
To examine the relationship between sublingual microcirculatory measures and frailty index in those attending a kidney transplant assessment clinic....
Patients recruited had their sublingual microcirculation taken using sidestream dark field videomicroscopy (MicroScan, Micro Vision Medical, Amsterdam, the Netherlands) and their frailty index score u...
A total of 44 patients were recruited with two being excluded due to microcirculatory image quality scores exceeding 10. The frailty index score indicated significant correlations with total vessel de...
There is a relationship between the frailty index and microcirculatory health in those attending a kidney transplant assessment clinic, that is not confounded by age. These findings suggest that the i...
The sublingual mucosa is a commonly used intraoral location for identifying microcirculatory alterations using handheld vital microscopes (HVMs). The anatomic description of the sublingual cave and it...