Modèle d’intervention pour les difficultés sexuelles suivant un AVC
Why this work is in the frame
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Bibliographic record
Abstract
Proposer un modèle d’intervention en réadaptation sexuelle à la suite d’un accident vasculaire cérébral (AVC). L’élaboration du modèle se base sur deux recensions d’écrits, concernant les méthodes de réadaptation existantes et les dysfonctions sexuelles suivant un AVC, ainsi que sur les résultats de deux études analysant la distribution des lésions et leur impact. Des pistes d’intervention multidisciplinaires sont suggérées suivant le modèle de Foley, favorisant une évaluation et prise en charge en fonction des impacts primaires (localisation de la lésion), secondaires (impact de la lésion sur d’autres fonctions corporelles) et tertiaires (facteurs psychosociaux) de l’AVC sur la sexualité. S’ajoute des interventions ciblées par rapport à quatre profils de patients émergeants d’une analyse d’agrégats permettant de regrouper et distinguer les besoins des survivants d’AVC. Malgré les efforts pour améliorer le suivi, les patients se plaignent toujours d’un manque d’information sur l’impact de leur AVC sur la sexualité. Le modèle proposé, conforme aux modèles précédents et adapté de la classification de Foley, offre une approche structurée, pragmatique et intuitive pour les professionnels de divers horizons souhaitant participer à la prise en charge multidisciplinaire des troubles sexuels post-AVC. To propose a model of intervention in sexual rehabilitation following stroke. The model was developed based on two literature reviews, concerning existing rehabilitation methods and sexual dysfunctions following stroke, as well as the results of two studies analyzing the distribution of lesions and their impacts. Multidisciplinary avenues of intervention are suggested according to Foley's model, encouraging an assessment and management according to the primary impacts of stroke on sexual functioning (localization of the lesion), their secondary (impact of the lesion on other bodily functions) and tertiary impacts (psychosocial factors). Interventions also consider the patients’ profile amongst the four emerging from cluster analysis modulating the needs of stroke survivors. Despite efforts to improve sexual follow up, stroke patients still report a lack of information concerning the impact of stroke on their sexuality. The proposed model, consistent with previous models and adapted from Foley's classification, provides a structured, pragmatic and intuitive approach for professionals with different expertise wishing to contribute to the multidisciplinary treatment of sexual difficulties poststroke.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it