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"headline": "Diagnostic sur Fièvre chikungunya",
"description": "Comment diagnostiquer la fièvre chikungunya ?\nQuels tests sont utilisés pour confirmer l'infection ?\nQuels symptômes indiquent une infection ?\nLa fièvre chikungunya est-elle confondue avec d'autres maladies ?\nQuel est le délai d'apparition des symptômes ?",
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"description": "Comment prévenir la fièvre chikungunya ?\nLes moustiquaires sont-elles efficaces ?\nFaut-il éliminer les eaux stagnantes ?\nLes vaccins existent-ils pour cette maladie ?\nComment se protéger lors de voyages ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Fièvre chikungunya",
"description": "Qui est le plus à risque de contracter la maladie ?\nLes femmes enceintes sont-elles plus vulnérables ?\nLes personnes immunodéprimées sont-elles à risque ?\nLes enfants sont-ils plus touchés ?\nLes voyages dans des zones endémiques augmentent-ils le risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer la fièvre chikungunya ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur les symptômes cliniques et des tests sérologiques ou PCR."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer l'infection ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les tests sérologiques détectent les anticorps, tandis que la PCR identifie le virus."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une infection ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre, douleurs articulaires, éruptions cutanées et fatigue sont des indicateurs clés."
}
},
{
"@type": "Question",
"name": "La fièvre chikungunya est-elle confondue avec d'autres maladies ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut être confondue avec la dengue ou le virus Zika en raison de symptômes similaires."
}
},
{
"@type": "Question",
"name": "Quel est le délai d'apparition des symptômes ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes apparaissent généralement 4 à 8 jours après la piqûre d'un moustique infecté."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes principaux de la fièvre chikungunya ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fièvre, douleurs articulaires, maux de tête et éruptions cutanées."
}
},
{
"@type": "Question",
"name": "La douleur articulaire est-elle persistante ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur articulaire peut persister plusieurs mois après la guérison initiale."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes gastro-intestinaux ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme des nausées ou des vomissements peuvent survenir, mais sont moins fréquents."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'âge ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants et les personnes âgées peuvent présenter des symptômes plus sévères et prolongés."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des symptômes sans fièvre ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines personnes peuvent éprouver des douleurs articulaires sans fièvre initiale."
}
},
{
"@type": "Question",
"name": "Comment prévenir la fièvre chikungunya ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les piqûres de moustiques en utilisant des répulsifs et en portant des vêtements longs."
}
},
{
"@type": "Question",
"name": "Les moustiquaires sont-elles efficaces ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les moustiquaires traitées avec insecticide protègent contre les piqûres de moustiques."
}
},
{
"@type": "Question",
"name": "Faut-il éliminer les eaux stagnantes ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, éliminer les eaux stagnantes réduit les lieux de reproduction des moustiques."
}
},
{
"@type": "Question",
"name": "Les vaccins existent-ils pour cette maladie ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Actuellement, il n'existe pas de vaccin approuvé contre la fièvre chikungunya."
}
},
{
"@type": "Question",
"name": "Comment se protéger lors de voyages ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utilisez des répulsifs, portez des vêtements longs et choisissez des hébergements protégés."
}
},
{
"@type": "Question",
"name": "Quel est le traitement recommandé pour la fièvre chikungunya ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de traitement antiviral spécifique; les soins sont symptomatiques."
}
},
{
"@type": "Question",
"name": "Les anti-inflammatoires sont-ils efficaces ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les anti-inflammatoires non stéroïdiens peuvent soulager la douleur et l'inflammation."
}
},
{
"@type": "Question",
"name": "Faut-il se reposer pendant la maladie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un repos adéquat est conseillé pour aider à la récupération et réduire la fatigue."
}
},
{
"@type": "Question",
"name": "Des remèdes naturels sont-ils utiles ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certains remèdes naturels peuvent aider à soulager les symptômes, mais peu de preuves existent."
}
},
{
"@type": "Question",
"name": "Quand consulter un médecin ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consultez un médecin si les symptômes s'aggravent ou si des complications apparaissent."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la fièvre chikungunya ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des douleurs articulaires chroniques et des problèmes neurologiques."
}
},
{
"@type": "Question",
"name": "La fièvre chikungunya peut-elle être mortelle ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La fièvre chikungunya n'est généralement pas mortelle, mais des complications peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées peuvent développer des complications plus graves et prolongées."
}
},
{
"@type": "Question",
"name": "Y a-t-il des risques de co-infection ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la co-infection avec d'autres virus comme la dengue peut compliquer le tableau clinique."
}
},
{
"@type": "Question",
"name": "Comment gérer les douleurs chroniques post-chikungunya ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion inclut des traitements anti-inflammatoires et des thérapies physiques."
}
},
{
"@type": "Question",
"name": "Qui est le plus à risque de contracter la maladie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes vivant dans des zones endémiques et celles exposées aux moustiques sont à risque."
}
},
{
"@type": "Question",
"name": "Les femmes enceintes sont-elles plus vulnérables ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes enceintes peuvent avoir des complications plus graves et affecter le fœtus."
}
},
{
"@type": "Question",
"name": "Les personnes immunodéprimées sont-elles à risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes immunodéprimées peuvent développer des formes plus sévères de la maladie."
}
},
{
"@type": "Question",
"name": "Les enfants sont-ils plus touchés ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants peuvent contracter la maladie, mais les symptômes sont souvent moins sévères."
}
},
{
"@type": "Question",
"name": "Les voyages dans des zones endémiques augmentent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, voyager dans des zones où le chikungunya est présent augmente le risque d'infection."
}
}
]
}
]
}
This study investigated the demand for and awareness of a primary healthcare pilot project for people with disabilities; it also sought to identify relevant determinants for demand and awareness using...
This study is a secondary analysis of data from the population-based survey conducted in Gyeonggi Regional Health & Medical Center for People with Disabilities. The data was designed with quota ra...
Awareness of the service (12.1%) was remarkably low, while the demand (80.5%) was high. The gap between respondents who needed the service but were unaware of it differed according to age, education, ...
Chronic disease and an unmet need for medical care were key determinants of service demand, while the severity of disability was not. Thus, there is a need to review the initiative that defines servic...
Communication and interprofessional collaboration with patients diagnosed with cancer is challenging. Structured communication training has not yet been integrated into postgraduate medical education....
A needs assessment was conducted using focus groups and individual interviews. Learning objectives were aligned with (inter)national learning objective catalogs. The ICT was developed using the six-st...
Physician participation rates in the workshops were 83.0% and nursing participation rates were 58.3%. Utilization of the workplace-based training was 97%. The physicians evaluated the ICT very positiv...
The implementation of an ICT with 80 teaching units is successfully feasible in a urological clinic and leads to a sustainable improvement of the communication culture, among other things through ment...
Analysis of psychiatric-psychotherapeutic crisis services in the Leipzig Psychiatry Network (LeiP#netz), assigning the services to the functional areas of the FBM according to Steinhart and Wienberg....
A standardized survey of crisis care was conducted using the functions "complex outpatient treatment", "access to acute psychotherapy in crisis", and "24 h complex, intensive treatment" by means of fa...
A total of 31 measures were recorded for the three functions. All crisis care services were highly utilized; in up to one-third of cases, no services could be provided when demand was requested. Servi...
Crisis care services for severely mentally ill people are available in various constellations in the study region. Low-threshold 24/7 crisis services need to be expanded....
Social determinants of health (SDOH) and stress during pregnancy may contribute to adverse pregnancy outcomes. The objective of this in the field pilot project was to develop a comprehensive screening...
Pregnant patients accessing prenatal care at a single site of an urban Federally Qualified Health Center were recruited during prenatal visits to complete a Social Determinants of Health in Pregnancy ...
Between April 2018 and March 2019, 135 pregnant participants completed SIPT. Ninety-one percent of patients scored positive on at least one screener, 54% to three or more screeners....
Despite guidelines to screen for SDOH during pregnancy there is no universal tool. Our pilot project demonstrated the concurrent use of adapted screening tools where participants reported at least one...
Colorectal cancer (CRC) is the third most common cancer in Iran, where there is no organised CRC-screening programme. This study aimed to evaluate feasibility of CRC screening using a qualitative feca...
In this feasibility study, 7039 individuals aged 50-75 years were invited by community health workers (CHWs) in southern Tehran and its suburban districts between April 2018 and November 2019. The CHW...
Acceptance rate at initial invitation was 71.7%. From 4974 average-risk adults (1600 males and 3374 females) who were offered FIT, 96.8% (n=4813) provided valid samples, of whom 471 (9.8%) tested posi...
Our results partially support the feasibility of scaling up organized CRC-screening through the existing healthcare system in Iran; it remains to be discussed carefully to ensure the capacity of healt...
Evidence synthesis organisations are trying to meet commissioners' needs for rapid responses to their evidence synthesis commissions. In this project we piloted an intensive process, working to comple...
In a pre-planning phase, an intensive work group was established, and two commissions were selected for this pilot project. The evidence synthesis process was divided into two phases: planning and int...
During the planning phase, teams identified significant uncertainties regarding scopes, research questions, and inclusion criteria. To address this, they engaged with commissioners earlier than origin...
Overall, the intensive process fostered focus and productivity, allowing teams to manage short-term deliverables effectively. The researchers preferred working intensively with one evidence synthesis ...
Families with one parent suffering from cancer are exposed to extraordinary emotional and organizational burdens, affecting underaged children. To help coordinated access to social and logistic suppor...
A cross-sectional observational study was conducted using a mixed-method approach. Semi-structured written expert surveys (n=10) and secondary analysis of routine data of the care model (n=171 familie...
Quantitative secondary analysis: The participating families had 1-7 children (median (m) 2, range (s) 6). In 66% of the cases, the mother was affected by cancer, in 20% the diseased parent was in a si...
The data collected indicate that in families, matching the German average in their socio-demographic characteristics, a great need for organizational support develops as soon as one parent becomes sic...
We initiate the Westlake BioBank for Chinese (WBBC) pilot project with 4,535 whole-genome sequencing (WGS) individuals and 5,841 high-density genotyping individuals, and identify 81.5 million SNPs and...
To report a pilot project of expert nurses for outpatient parenteral antimicrobial treatment (OPAT) follow-up....
Three nurses with specific training on antibiotics started a state-funded programme including: i) consultations for OPAT follow-up; ii) hotline for satellite hospitals; iii) peer training. Patients' d...
From December 2020 to December 2021, 118 patients (median age 66.5 years [52-75], male-to-female ratio 2.5) were enrolled, for a total of 621 consultations. Patients were mostly on OPAT for bone and j...
Nurses may be important actors for OPAT follow-up....
The Fellowship Council (FC) is transitioning to a competency-based medical education (CBME) model, including the introduction of Entrustable Professional Activities (EPAs) for training and assessment ...
The FC coordinated the development of EPAs in collaboration with the sponsoring societies for Advanced GI/MIS, Bariatrics, Foregut, Endoscopy and Hepatopancreaticobiliary (HPB) fellowships encompassin...
The 15 participating programs included 18 fellows and 106 faculty. A total of 655 assessments were initiated with 429 (65%) completed. The average (SD) number of EPAs completed for each fellow was 24(...
A competency-based assessment framework was developed by the FC and piloted in several programs. Participation was variable and required ongoing strategies to address barriers. The pilot project has p...