The level of awareness of the medical community with Marshall syndrome (PFAPA)
Notice bibliographique
Résumé
Syndrome of periodic fever, aphthous stomatitis, pharyngitis, adenitis (PFAPA - periodic fever, aphthous stomatitis, pharyngitis, adenitis), known as Marshall syndrome (SM.). In Ukraine, with its child population of about 7.6 million. it should prognostically be established in at least several thousand cases, but reports of such children are only sporadic, attesting to diagnostic problems. Aim - to evaluate the level of knowledge of doctors of certain specialties regarding the diagnosis of SM and finding a way to improve the efficiency of its management. Materials and methods. An anonymous survey of 157 residents and interns of the Ternopil region of Ukraine was conducted regarding the diagnosis of SM and its management using a written questionnaire followed by statistical processing. Exclusion criteria were the absence of answers or the number of answers to at least one of the questions asked was greater than the suggested number. Therefore, 139 questionnaires were taken into analysis, among which 56 (40.29%) were provided by specialist doctors and 83 (59.71%) by intern doctors. Results. The analysis of the answers showed difficulties not only with establishing the correct diagnosis, but also with its diagnosis and treatment tactics both among specialists with experience and among interns. About quarter of the residents (13/56 (23.21%)) and only 8/83 (9.64%) of the interns decided on the treatment tactics of the patient in accordance with the described clinical picture and the specified diagnosis, which testified to a lack of understanding of the pathogenetic bases of SM. Despite the fact that the clinical symptoms of MS most interns (67/83; 80.72%) are known and they recognized it based on the description provided by the questionnaire. The biggest difficulties arose in both groups when solving the issue of planning preventive measures in the inter-attack period. Conclusions. Thus, the analysis of the conducted survey revealed a lack of knowledge about MS, its diagnosis, treatment and rehabilitation. Autoinflammatory diseases need their place in modern programs of university training and especially postgraduate education in the continuous professional development system in order to direct the vector of medical opinion clearly in the direction of the correct clinical diagnosis. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institutions. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».