Revue medicale suisse最新文献

Denial of pregnancy affects approximately 0.2% of births and corresponds to the absence or attenuation of pregnancy symptoms preventing the woman from becoming aware of her pregnancy status. Denial is said to be partial if it ends before delivery and total if it lasts until delivery. It is to be distinguished from concealment of pregnancy. Denial of pregnancy carries risks linked to lack of prenatal care. At birth, more perinatal mortality, prematurity, and growth retardation are observed. Initial data suggest a later impact on language development. Mobilization of the multidisciplinary perinatal team is necessary for the assessment and implementation of support adapted to the situation.

Psychological distress is common in patients after solid organ transplantation and often motivates psychological and psychiatric consultations. Due to its clinical and economic potential, the CHUV has been offering a group therapy for solid organ transplant recipients since 2022. Patients use the sessions to talk about their feelings of stigmatization or fear of contamination, but also about their need for a balance between overstepping some limits and rigorous discipline regarding medication intake and precautions to be taken. They talk about issues they usually do not discuss with the various health professionals who follow them. The group therapy thus contributes to their empowerment and helps them to take responsibility in their life and medical follow-up.

As part of our liaison psychiatry consultation, we regularly see young adults with juvenile epilepsy who are referred because of psychiatric symptoms that complicate the management of their epilepsy : worsening seizures, poor medication compliance, irregular follow-up. Juvenile epilepsy is associated with serious consequences that have a significant impact on the identity construction of these young patients, their degree of autonomy, and their level of socioprofessional integration.

Due to their high prevalence in the general population, primary care physicians are often required to manage patients with personality disorders. However, they are generally not well trained in recognizing these disorders, understanding their clinical manifestations, or addressing their impact on the therapeutic relationship. Additionally, negative attitudes toward these patients are commonly observed, which can lead to disengagement, underestimation of certain somatic risks, and missed opportunities to provide high-quality care. This article aims to provide an overview to guide primary care physicians in identifying and managing patients with personality disorders.

Crack, the freebase form of cocaine, offers faster and more intense psychoactive effects due to its mode of administration by inhalation, while being of lower cost. These molecules act by blocking the reuptake of monoaminergic neurotransmitters, and their main effects stem from the rapid adrenergic response. The psychoactive effect is characterized by a marked surge of energy and social disinhibition. Crack consumption exacerbates the vulnerabilities of marginalized populations, requiring new approaches to address the social and health crises it generates. Since November 2024, a mobile team from HUG has deployed a street-based medical intervention, associated with intersectoral network work for a holistic and inclusive care approach.

The number of asylum seekers and refugees in Switzerland has increased over the past 20 years, many of whom come from countries where the epidemiology of infectious diseases is different from that of Switzerland. In this review, we discuss the considerations taken into account when deciding which diseases to screen for in asylum seekers and refugees, and compare the strategies proposed by different countries. An overview of the epidemiology, clinical presentation, screening methods, and treatment strategies is provided for HIV, tuberculosis, hepatitis B and C, strongyloidiasis, schistosomiasis, Chagas disease, soil-transmitted helminth infections, and other sexually transmitted infections.

The migratory journey of asylum seekers is often long, complex, and marked by numerous traumas impacting both their somatic and psychological health. The goal of healthcare systems is to welcome and treat patients equitably. This article provides an overview of the migration situation in Switzerland and analyzes the impact of decisions, particularly regarding deportation, on the health of asylum seekers. It also serves as a call to reassess forced deportations to countries unable to meet the basic standards of the European Convention on Human Rights, as well as to enforce stricter controls on the overall conditions of deportations and to reexamine detention practices to limit their impact on the health of asylum seekers.

People still face many barriers in accessing sexual health care: geographical, financial, linked to the taboo surrounding sexuality, or to experienced or anticipated discriminations. There is a need for innovative solutions to facilitate access to sexual health care. This article describe a recent integrated initiative, the "Antenne santé sexuelle Onex", the result of a collaboration between the Social, Health and Childhood Service of the town of Onex and the Sexual Health and Family Planning Unit of the University Hospitals of Geneva. Through free, confidential interviews and sustained networking, the "Antenne" will help to improve sexual health care locally and develops tools to remove the obstacles to accessing healthcare in an underserved area.