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 :
Perfusion
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"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": "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": "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."
}
}
]
}
]
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In peripheral percutaneous (VA) extracorporeal membrane oxygenation (ECMO) procedures the femoral arteries perfusion route has inherent disadvantages regarding poor upper body perfusion due to watersh...
An idealized literature-based- and a real patient proximal aortic geometry including an endoluminal cannula were constructed. The blood flow was considered continuous. Oxygen saturation was set to 80%...
For both geometries, the placement of the cannula in the ascending aorta led to a superior oxygenation of all aortic blood vessels except for the left coronary artery. Cannula placements at the aortic...
In accordance with clinical observations CFD analysis reveals, that retrograde advancement of a long endoluminal cannula can considerably improve the oxygenation of the upper body and lead to oxygen s...
Hyperthermic intraperitoneal chemotherapy (HIPEC) is accompanied with an increased risk of acute kidney injury (AKI). Whether AKI is induced by chemotoxicity or hyperthermia-related changes in renal p...
Renal blood perfusion was assessed in ten patients treated with HIPEC by intraoperative renal Doppler pulse-wave ultrasound. Ultrasound (US) examinations were performed pre-, intra-, and postoperative...
Throughout HIPEC perfusion, neither significant nor consistent changes in renal perfusion could be observed. Postoperative AKI occurred in 6 of 10 participating patients. Intraoperative renal resistiv...
AKI is a common and frequent complication after HIPEC, but underlying pathophysiology remains elusive. High intraoperative RRI values may indicate an increased risk of postoperative AKI. Present data ...
Ex-vivo normothermic machine perfusion (NMP) preserves the liver metabolism at 37°C and has rapidly developed as a promising approach for assessing the viability and improving the performance of organ...
This systematic review summarizes available pharmacological therapies for liver defatting, with a particular emphasis on defatting agents that can be employed clinically as defatting components during...
NMP provides an opportunity for organ treatment and can be used as a defatting platform in the future with defatting agents. Nagrath's cocktail is the most commonly used defatting cocktail in NMP; how...
Brain perfusion imaging is of enormous importance for various neurological diseases. Fast gradient-echo sequences offering flow-related enhancement (FREE) could present a basis to generate perfusion-w...
One participant was examined with bSSFP and FLASH sequences at 1.5T and 3T, different flip angles and slice thicknesses. Twenty-five volunteers had bSSFP imaging and pCASL MRI. Three patients with cer...
The bSSFP sequence presented detectable perfusion signal within brain vessel and parenchyma together with superior SNR compared to FLASH. Perfusion contrast and its corticomedullary differentiation in...
The feasibility of FREE brain perfusion imaging has been shown in a healthy cohort and selected patient cases with brain metastases and acute stroke. The study demonstrates a new approach for non-cont...
Definitive diagnosis of acute ischemic stroke is challenging, particularly in telestroke settings. Although the prognostic utility of CT perfusion (CTP) has been questioned, its diagnostic value remai...
Acute and follow-up data collected prospectively from consecutive suspected patients with stroke assessed by a state-wide telestroke service between March 2020 and August 2021 at 12 sites in Australia...
During the study period, complete multimodal CT examination was obtained in 831 patients, 457 of whom were diagnosed with stroke. Diagnostic sensitivity for ischemic stroke increased by 19.5 percentag...
Acquisition of CTP as part of a telestroke imaging protocol permits definitive diagnosis of cerebral ischemia in 1 in 5 patients with normal NCCT and CTA....
Extended criteria donor livers are increasingly being accepted for transplant in an attempt to bridge the gap between the number of patients on the waiting list and the number of available donor liver...
A 53-year-old woman with disabling polycystic liver disease was included on the liver transplant waiting list. Donation was offered in type 3 asystole with regional perfusion in normothermia. Given th...
After performing the bench work, the injector is selectively cannulated via the portal to connect it to the hypothermic perfusion machine. The average temperature of the perfusate (3 L modified Belzer...
To explore the applicability of CT perfusion-derived parameters and collateral index in prediction of functional and clinical outcomes in patients with Moyamoya disease (MMD) who have not been treated...
All hemispheres were categorized into four groups: those with ischemic (IS) lesions, hemorrhagic (HE) lesions, subarachnoid hemorrhage (SAH) and normal hemisphere (NH). The clinical review included pr...
Between December 2020 and December 2021, 21 MMD patients (15 bilateral cases and 6 unilateral cases, for a total of 36 hemispheres) were retrospectively included. Compared with the NH group, the IS gr...
Among different imaging types, IS hemispheres were characterized by distinct changes of hemodynamic parameters. Collateral index of HIR could be considered a clinically accessible and promising indict...
Owing to its pharmacodynamics and posology, the use of regadenoson for stress cardiac magnetic resonance (CMR) has potential advantages over other vasodilators. We sought to evaluate the safety, hemod...
There is increasing evidence that chronic endotheliopathy can play a role in patients with Post-Covid Condition (PCC, or Long Covid) by affecting peripheral vascularization. This pilot study aimed at ...
lung...
Clinical and biochemical data were collected during acute infection and follow-up in 14 children (6 females, mean age: 12.6 years) fulfilling Long-COVID diagnostic criteria and complaining of chronic ...
This pilot investigation confirmed previous data suggesting that a small subgroup of children can develop lung perfusion defects after severe acute respiratory syndrome coronavirus 2 infection. Larger...
Anastomotic leakage after gastrointestinal surgery has a high impact on patient's quality of life and its origin is associated with inadequate perfusion. Imaging photoplethysmography (iPPG) is a nonin...
Intraoperative iPPG imaging was performed in 29 patients undergoing an open segment resection of the small intestine or colon. During each surgery, imaging was performed on fully perfused (true positi...
iPPG-derived perfusion parameters were highly correlated with perfusion-perfused or ischemic-in intestinal tissues. A perfusion confidence map distinguished perfused and ischemic intestinal tissues wi...
This study shows that noninvasive intraoperative iPPG is suitable for the objective assessment of small intestine and colon anastomotic perfusion. In addition, two perfusion classification methods wer...