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Revue medicale de Liege最新文献

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[Anxiety disorders : from diagnosis to management]. [焦虑症:从诊断到治疗]。
Revue medicale de Liege Pub Date : 2023-05-01
William Pitchot
{"title":"[Anxiety disorders : from diagnosis to management].","authors":"William Pitchot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anxiety disorders are very common in the general population. They are associated with a considerable personal suffering and an important economic burden. Comorbidity with mental disorder and physical illness is frequent. The treatment includes pharmacological and psychotherapeutical interventions that have been well validated in scientific studies. Unfortunately, many patients remain undiagnosed and undertreated. Moreover, the efficacy and tolerability of the available pharmacological and psychological treatments are disappointing. That is the reason why prevention has to be a real priority for the medical community and for our authorities.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"327-334"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tinnitus]. [耳鸣]。
Revue medicale de Liege Pub Date : 2023-05-01
Vincent Boniver
{"title":"[Tinnitus].","authors":"Vincent Boniver","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tinnitus have different forms and it is possible to identify their origins in many cases. Even if tinnitus is not a kind experience, it is commonly not troublesome. But in some cases, it may become very annoying and lead to psychiatric disorders. Tinnitus is a frequent complaint at the medical office since 10% of the adult population is concerned. Their origin can be defined with different exams. Habituation is the key for therapy.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"285-288"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Functional disorders in primare care]. [初级保健中的功能障碍]。
Revue medicale de Liege Pub Date : 2023-05-01
Maxence Ouafik, Gilles Henrard, Jean-Luc Belche, Didier Giet
{"title":"[Functional disorders in primare care].","authors":"Maxence Ouafik,&nbsp;Gilles Henrard,&nbsp;Jean-Luc Belche,&nbsp;Didier Giet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>General practitioners frequently encounter patients with functional disorders. The authors discuss the specific aspects of the management of this population in general practice, through the lens of the five functions that define this discipline. A classification of functional disorders and the analysis of prognostic factors are of great value in deciding on therapeutic strategies. The general practitioner can contribute to the disappearance of mild functional disorders by listening to the patient and by providing appropriate patient centered care. More severe situations are rarer and require a multidisciplinary approach to which the general practitioner should contribute.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"255-260"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Non-epileptic psychogenic seizures]. [非癫痫性心因性发作]。
Revue medicale de Liege Pub Date : 2023-05-01
Adrien Verstraete, Olivier Bodart
{"title":"[Non-epileptic psychogenic seizures].","authors":"Adrien Verstraete,&nbsp;Olivier Bodart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Psychogenic non-epileptic seizures resemble epileptic seizures but their pathophysiological mechanisms differ. Despite being quite frequent, they are often misunderstood, regularly leading to a misdiagnosis and therapeutic errors. The objective of this article is to provide a short review of the current knowledge about this pathology. We will detail the main epidemiological data of psychogenic non-epileptic seizures. We will then discuss the diagnostic approach, emphasizing the semiological differences that exist between psychogenic non-epileptic seizures and epileptic seizures. Then, we will detail the main therapeutic actions and discuss the importance of communication between clinicians, the patient and his/her family. Finally, we will discuss the long-term prognosis of this pathology, which remains quite poor.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"273-280"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Recommendations for functional evaluation and rehabilitation of chronic low back pain]. [慢性腰痛的功能评估和康复建议]。
Revue medicale de Liege Pub Date : 2023-05-01
Marc Vanderthommen, Stéphanie Grosdent, Sarah Bethlen, Marco Tomasella, Emilie Martin, Pierre-René Somville, Irène Salamun, Jean-François Kaux, Christophe Demoulin
{"title":"[Recommendations for functional evaluation and rehabilitation of chronic low back pain].","authors":"Marc Vanderthommen,&nbsp;Stéphanie Grosdent,&nbsp;Sarah Bethlen,&nbsp;Marco Tomasella,&nbsp;Emilie Martin,&nbsp;Pierre-René Somville,&nbsp;Irène Salamun,&nbsp;Jean-François Kaux,&nbsp;Christophe Demoulin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The majority of non-specific low back pain has a favourable evolution within a short period of time but in some cases the pain becomes persistent or recurrent. These chronic forms are responsible for most of the social and economic burden of low back pain. The crucial role of psycho-social factors in the chronicisation of low back pain justifies a thorough bio-psycho-social assessment. An active semi-intensive ambulatory multidisciplinary programme (Spine Unit Center) that complies with international and national recommendations (KCE and INAMI) has demonstrated its effectiveness in chronic low back pain in terms of algo-functional, physical and psycho-social components. In contrast to intensive programmes requiring hospitalisation, this outpatient treatment allows the patient to remain in his/her social and professional network. The active participation and motivation of the patient are essential for the success of the treatment. The multidisciplinary team will help the patient to define his/her functional objectives and to manage, via the psychologist, emotional aspects. The programme includes therapeutic education and physical reconditioning sessions including progressive aerobic training, group exercises, and individualised and progressive strengthening of the trunk muscles. The introduction of physical activity at home will be encouraged in order to sustain the changes in the patient's behaviour.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"321-326"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Anorexia nervosa, a functional disorder between]. 神经性厌食症，一种功能性障碍。
Revue medicale de Liege Pub Date : 2023-05-01
André Scheen
{"title":"[Anorexia nervosa, a functional disorder between].","authors":"André Scheen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is a functional eating disorder with a multifactorial origin without an underlying somatic disease. Two types of AN should be distinguished, pure restrictive AN and AN-boulimia with purging, most often among young females. AN is mainly a psychological disease, but it leads quite early to various somatic complications. Weight loss may be dramatic and different deficiencies then occur. Besides anorexia, aberrant behaviours may be present, which may be associated with severe complications. Management should be pluridisciplinary, yet no strategy has proved clear superiority. In cases with profound severity, either psychological/psychiatric or somatic, a hospitalization in a specialized unit becomes essential. The outcome remains uncertain and the final prognosis remains reserved in most cases.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"369-375"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Vertigo and dizziness : functional disorders ?] 眩晕和头晕:功能性障碍?
Revue medicale de Liege Pub Date : 2023-05-01
Raymond Boniver
{"title":"[Vertigo and dizziness : functional disorders ?]","authors":"Raymond Boniver","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Symptoms of vertigo and dizziness may arise from a dysfunction of the vestibular system in the inner ear but many or even most of them don't. The medical interrogatory is a key step for the diagnosis, combined with functional tests. Around 10 % of patients with vertigo are referred to specialists. They are a lot of psychogenic dizzy symptoms. The importance of a reassuring dialogue with the patient is of prime importance to avoid the development of functional or psychological imbalance.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"281-284"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Sleep disorders in connection with somatic symptom disorders]. [与躯体症状障碍有关的睡眠障碍]。
Revue medicale de Liege Pub Date : 2023-05-01
Julien Fanielle
{"title":"[Sleep disorders in connection with somatic symptom disorders].","authors":"Julien Fanielle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Somatic symptom disorders and sleep disorders are very prevalent in the general population. They both have a huge impact on quality of life. These disorders have influences on each other with potential bidirectional exacerbations. It is then very important to look for them and to treat them concomitantly. This article gives a short overview of main sleep disorders in connection with somatic symptom disorders, their respective influences and their treatment.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"296-298"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Complex regional pain syndrome]. [复杂局部疼痛综合征]。
Revue medicale de Liege Pub Date : 2023-05-01
Sophie Ibens, Benoit Demarest, Jean-François Kaux
{"title":"[Complex regional pain syndrome].","authors":"Sophie Ibens,&nbsp;Benoit Demarest,&nbsp;Jean-François Kaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Complex regional pain syndrome is a clinical entity that usually occurs following trauma, surgery, or other triggering event. Patients complain of pain described as burning, associated with sensory, vasomotor, sudomotor, motor and/or trophic disorders. The pain appears disproportionate to the initial lesion. The diagnosis is purely clinical and based on the Budapest criteria. It is a diagnosis of exclusion. The pathophysiology is still poorly understood and is thought to be multifactorial. Several mechanisms have been described: an inflammatory state, an overactivation of the sympathetic autonomic nervous system and a poor perception of pain at the central level. The management of signs and symptoms is therefore global. It involves physiotherapy and occupational therapy, often combined with analgesic medications. Psychological treatment may be proposed in certain circumstances. The natural evolution is rather favourable.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"315-320"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Globus pharyngeus : etiologies, diagnosis and management. A narrative review]. 咽球炎:病因、诊断和治疗。记叙性评论]。
Revue medicale de Liege Pub Date : 2023-05-01
Khalid Baghdadi, Philippe Lefebvre, Aude Lagier
{"title":"[Globus pharyngeus : etiologies, diagnosis and management. A narrative review].","authors":"Khalid Baghdadi,&nbsp;Philippe Lefebvre,&nbsp;Aude Lagier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Globus pharyngeus is a very common symptom in the general population. It is defined as a sensation of lump or foreign body in the throat, generally not accompanied by pain and relieved by eating. This last notion makes the differential diagnosis with dysphagia, which requires a different management. Its possible etiologies are complex and multiple, both organic and psychological, and many of them are still debated. Therefore, there is no consensus on the management and the treatment of globus pharyngeus. The purpose of this narrative review of the literature is to synthesize the current evidence regarding the causes, diagnostic strategy, and therapeutic management of globus pharyngeus.</p>","PeriodicalId":21414,"journal":{"name":"Revue medicale de Liege","volume":"78 5-6","pages":"289-295"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9676559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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