Revue medicale suisse最新文献

When caregivers are unable to meet their children's needs, psychosocial stress may affect the children's neurodevelopment. Even before or during pregnancy, parental stress is associated with alterations in fetal brain development that may affect later neurodevelopment. Moreover, while parental attitudes and beliefs about child-rearing may impact neurodevelopment (sleep, physical activity, screen time), neurodevelopmental disorders may also affect family mental health. The interaction between psychosocial stress and child neurodevelopment is bidirectional and warrants careful monitoring by primary care health professionals, as suboptimal parenting may hinder the treatment of learning disorders. Thus, early detection and scaffolding of the family structure are key.

The rise of AI in healthcare offers major potential for diagnosis and learning but also exposes to a worrying risk of "deskilling." Recent data from colonoscopy shows that prolonged exposure to assistance systems reduces the performance of endoscopists illustrating a phenomenon of "deskilling" that is potentially harmful to patient safety. Clinical reasoning, based on the integration of data, uncertainty, context, and patient values, cannot be reduced to a simple exercise in prediction. Structured and supervised educational integration of AI (simulation, feedback, formative assessment, prompting learning) would preserve the cognitive autonomy and critical thinking of future clinicians by making AI an ally rather than a substitute.

Asylum-seeking children constitute a highly vulnerable pediatric population, facing complex somatic and psychosocial challenges due to the migration and asylum process. This article aims to guide primary care providers through this complexity by providing concrete tools to ensure equity of care. The core focus is optimizing daily clinical practice. It outlines management requirements for somatic, psychological, social, and intercultural care within the context of the Swiss asylum procedure. Handling these situations effectively require a multidisciplinary approach (social, school, medical). The objective is to facilitate the child's global integration while equipping practitioners with the necessary resources to address the complexity of migration and prevent feelings of disempowerment among caregivers.

In the context of first-episode psychosis, an organic or toxic etiology is identified in approximately 14 % of cases. However, biomarkers of primary psychosis are lacking, and there are no well-established red flags for identifying individuals presenting with secondary psychosis. Given that early diagnosis significantly impacts prognosis, this article proposes a standardized, multidisciplinary approach to managing first-episode psychosis, aimed at increasing the sensitivity for detecting secondary psychoses. Our protocol, based on current evidence, can be implemented in both emergency and outpatient settings. It enables urgent referral to a specialist, most frequently a neurologist, based on the presence of biological alterations and clinical red flags.

This article presents the Interprofessional Committee, which is a student group that has been organizing evenings of clinical cases simulations and "game nights" for Lausanne (Switzerland) health students since 2022. The description of this initiative highlights the importance of student involvement in interprofessional education at the pregraduate level.