口蹄疫(FMD)是由口蹄疫病毒(FMDV)引起的一种急性、热性和高度接触性传染病。易感群体为猪、牛、羊、骆驼等为主的偶蹄动物。口蹄疫发病率高,传播速度快,且可远距离传播,被世界动物卫生组织(World Organisation for Animal Health,...口蹄疫(FMD)是由口蹄疫病毒(FMDV)引起的一种急性、热性和高度接触性传染病。易感群体为猪、牛、羊、骆驼等为主的偶蹄动物。口蹄疫发病率高,传播速度快,且可远距离传播,被世界动物卫生组织(World Organisation for Animal Health,OIE)列为动物A类传染病之首。展开更多
Background.Dermatological diseases modify and impair patients’self-image and can result in considerable psychological suffering.The purpose of this study was to determine the prevalence of depressive symptoms in pati...Background.Dermatological diseases modify and impair patients’self-image and can result in considerable psychological suffering.The purpose of this study was to determine the prevalence of depressive symptoms in patients consulting for dermatological diseases.Patients and methods.A prospective study was carried out on 5 successive days at the dermatology department of the Saint-Louis Hospital in Paris.A questionnaire designed to assess depressive symptoms,the CES-D,was given to all patients consulting throughout the study period.This self-assessment scale for depression was devised by the National Institute of Mental Health and has been validated over more than 20 years by means of hundreds of large-scale epidemiological studies in both general and selected patient populations.Results.On completion of the 5-day study,879 questionnaires had been collected.The sex-ratio was 53.4%women 46.6%men.The prevalence of depressive symptoms as evaluated by the questionnaire was 23.6%for a total of 774 evaluable dossiers.Patients consulting without an appointment(n = 172)represented 22%of study subjects versus 78%attending a scheduled visit(n = 602).Depressive symptoms were found in 31.4%of patients consulting without an appointment versus 21.4%of patients with an appointment(p < 0.01).Male patients consulting without an appointment constituted the most fragile group,with depressive symptoms being seen in 38.8%of this population.Discussion.The prevalence of depressive symptoms among patients seen at a hospital dermatology department was 23.6%in this study.This figure was significantly higher among patients consulting without an appointment,and among men in particular.It was equal to or higher than that seen among patients considered as having more incapacitating or painful conditions as assessed using the same questionnaire.The incidence of concomitant depression should prompt dermatologists to investigate for its existence and to take appropriate therapeutic measures in order to reduce the mental suffering of their patients.展开更多
文摘Background.Dermatological diseases modify and impair patients’self-image and can result in considerable psychological suffering.The purpose of this study was to determine the prevalence of depressive symptoms in patients consulting for dermatological diseases.Patients and methods.A prospective study was carried out on 5 successive days at the dermatology department of the Saint-Louis Hospital in Paris.A questionnaire designed to assess depressive symptoms,the CES-D,was given to all patients consulting throughout the study period.This self-assessment scale for depression was devised by the National Institute of Mental Health and has been validated over more than 20 years by means of hundreds of large-scale epidemiological studies in both general and selected patient populations.Results.On completion of the 5-day study,879 questionnaires had been collected.The sex-ratio was 53.4%women 46.6%men.The prevalence of depressive symptoms as evaluated by the questionnaire was 23.6%for a total of 774 evaluable dossiers.Patients consulting without an appointment(n = 172)represented 22%of study subjects versus 78%attending a scheduled visit(n = 602).Depressive symptoms were found in 31.4%of patients consulting without an appointment versus 21.4%of patients with an appointment(p < 0.01).Male patients consulting without an appointment constituted the most fragile group,with depressive symptoms being seen in 38.8%of this population.Discussion.The prevalence of depressive symptoms among patients seen at a hospital dermatology department was 23.6%in this study.This figure was significantly higher among patients consulting without an appointment,and among men in particular.It was equal to or higher than that seen among patients considered as having more incapacitating or painful conditions as assessed using the same questionnaire.The incidence of concomitant depression should prompt dermatologists to investigate for its existence and to take appropriate therapeutic measures in order to reduce the mental suffering of their patients.