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[Therapeutic management of endometriosis : social and systemic challenges]. [子宫内膜异位症的治疗管理:社会和系统挑战]。
Q4 Medicine Pub Date : 2026-01-28 DOI: 10.53738/REVMED.2026.22.947.47841
Chloé Schaer, Nicola Pluchino, Chahin Achtari, Jérôme Lederrey

The management of endometriosis is influenced by numerous factors that extend beyond the biomedical realm. When it comes to issues such as therapeutic wandering, managing individual symptoms, and the influence of resources on access to care, therapeutic support for this chronic condition highlights the variety of factors that affect medical trajectories. It thus reveals the social and systemic dynamics that influence care and clinical possibilities.

子宫内膜异位症的管理受到许多因素的影响,这些因素超出了生物医学领域。当涉及到诸如治疗性漫游、管理个体症状以及资源对获得护理的影响等问题时,对这种慢性疾病的治疗性支持突出了影响医疗轨迹的各种因素。因此,它揭示了影响护理和临床可能性的社会和系统动态。
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引用次数: 0
Grossophobie: lutter contre nos préjugés. 恐高症:与偏见作斗争。
Q4 Medicine Pub Date : 2026-01-28
S De Lucia, N Soguel, M Dominicé Dao, M Reiner, V Barthassat, S Arsever
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引用次数: 0
Protéger nos enfants. 保护我们的孩子。
Q4 Medicine Pub Date : 2026-01-21
Sylvain De Lucia
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引用次数: 0
[Infectious disease : what's new in 2025]. 【传染病:2025年的新发现】。
Q4 Medicine Pub Date : 2026-01-21 DOI: 10.53738/REVMED.2026.22.946.48045
Francesco Mandra, Thomas Brahier, Florian Tagini, Oriol Manuel, Emeline Gauthiez

In 2025, several studies have shaped the field of infectious diseases. Cefazolin has replaced anti-staphylococcal penicillins for treating Staphylococcus aureus bacteremia, while shorter 7-day courses are sufficient for other bloodstream infections. Treating the male partner in cases of bacterial vaginosis reduces recurrence risk among heterosexual couples. In virology, tecovirimat has proven ineffective against clade 1 monkeypox virus, declared a global health emergency, highlighting the need for new treatments. Finally, respiratory infection prevention is advancing with RSV vaccination for adults over 60 and a new monoclonal antibody against SARS-CoV-2, sipavibart.

2025年,几项研究塑造了传染病领域。头孢唑林已取代抗葡萄球菌青霉素治疗金黄色葡萄球菌菌血症,而其他血液感染的7天疗程较短。治疗细菌性阴道病的男性伴侣可以降低异性伴侣复发的风险。在病毒学方面,tecovirimat已被证明对第1进化支猴痘病毒无效,该病毒已被宣布为全球卫生紧急情况,强调需要新的治疗方法。最后,呼吸道感染预防工作正在推进,为60岁以上的成年人接种了RSV疫苗,并开发了一种新的针对SARS-CoV-2的单克隆抗体sipavibart。
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引用次数: 0
[Oncology : what's new in 2025]. 【肿瘤学:2025年的新趋势】。
Q4 Medicine Pub Date : 2026-01-21 DOI: 10.53738/REVMED.2026.22.946.48209
Caroline Schilt, Melissa Christofis, Nabila Ferahta, Antonia Digklia, Apóstolos Sarivalasis, Solange Peters, Jeremy Jankovic

Among the many oncology breakthroughs, this article focuses on three significant advances that are particularly relevant to Switzerland: endometrial cancer, which is now better defined by molecular biomarkers, oncogeriatrics, which has become a standard in light of an aging population, and pancreatic cancer, for which solutions have long been lacking, but where early detection tools and new targeted therapies are finally emerging. These are three modern, concrete, and hopeful topics.

在众多肿瘤学突破中,本文重点介绍了与瑞士特别相关的三个重大进展:子宫内膜癌,现在由分子生物标志物更好地定义;老年肿瘤学,鉴于人口老龄化,已成为标准;胰腺癌,长期缺乏解决方案,但早期检测工具和新的靶向治疗终于出现了。这是三个现代的、具体的、充满希望的话题。
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引用次数: 0
Raccourcir l’antibioprophylaxie dans les hémorragies digestives de cirrhotiques ? 减少肝硬化消化道出血的抗生素预防?
Q4 Medicine Pub Date : 2026-01-21
Davy Cabrio
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引用次数: 0
[Alcohol withdrawal : benzodiazepines, neither automatic nor systematic]. [酒精戒断:苯二氮卓类药物,非自动或系统的]。
Q4 Medicine Pub Date : 2026-01-21 DOI: 10.53738/REVMED.2026.22.946.48197
Augustin Curt, Antonelhla Mirelhla Ganoza Calero, Mihai Siriac, Simona Mateiciuc Leutke, Déborah Lidsky-Haziza

The CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol-revised) is the gold standard for assessing the severity of alcohol withdrawal. It allows the dosage of benzodiazepines to be adjusted according to symptom intensity rather than prescribing them at a fixed dose, with the aim of limiting prolonged use and the associated risk of dependence. Randomized trials have shown that this approach reduces both the total amount of benzodiazepines administered and the duration of treatment without compromising clinical efficacy or increasing alcohol withdrawal-related complications. However, CIWA-Ar use requires prior training of healthcare providers. Dosage is adjusted according to the score (<8: monitoring; 8-15: standard dose; >15: increased dose). The scale is contraindicated in uncooperative, confused, or intubated patients.

CIWA-Ar(临床研究所酒精戒断评估-修订版)是评估酒精戒断严重程度的黄金标准。它允许根据症状强度调整苯二氮卓类药物的剂量,而不是以固定剂量开具处方,目的是限制长期使用和相关的依赖风险。随机试验表明,这种方法减少了苯二氮卓类药物的总用量和治疗时间,而不影响临床疗效或增加酒精戒断相关并发症。然而,CIWA-Ar的使用需要医疗保健提供者事先接受培训。根据评分调整剂量(15分:增加剂量)。该量表不适用于不配合、神志不清或插管的患者。
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引用次数: 0
Quand le doute change de camp : vaccination, expertise et décision politique. 当怀疑转向:疫苗接种、专业知识和政治决策。
Q4 Medicine Pub Date : 2026-01-21 DOI: 10.53738/REVMED.2026.22.946.48379
Alessandro Diana
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引用次数: 0
Le mécanisme du vomissement. 呕吐的机制。
Q4 Medicine Pub Date : 2026-01-21
Anna Bonvin, Jean-Louis Frossard
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引用次数: 0
[Neurology : what's new in 2025]. [神经学:2025年的新动向]。
Q4 Medicine Pub Date : 2026-01-21 DOI: 10.53738/REVMED.2026.22.946.48114
Andria Tziakouri, Valentin Loser, Alex Vicino, Thomas Baumgartner, Giovanni Di Liberto, Vasiliki Pantazou, Raphaël Bernard-Valnet, Marie Theaudin, Caroline Pot, Mayte Castro-Jimenez, Cecile Alexandra Hübsch, Julien Bally, Davide Strambo, Lorenz Hirt, Leonardo Caranzano, Olivier Rouaud, Gilles Allali, Paolo Salvioni, Arseny A Sokolov, Jean-Michel Pignat, Philippe Ryvlin, Matthieu P Perrenoud, Andrea O Rossetti, Jan Novy, Isabelle Beuchat, Renaud Du Pasquier, Patrik Michel

In 2025, several major advances have marked the field of neurology. Anti-FcRN and anti-C5 antibodies have confirmed their long-term efficacy in the treatment of myasthenia gravis. Bruton tyrosine kinase inhibitors have expanded the therapeutic arsenal for multiple sclerosis. An antibody targeting α-synuclein appears to slow motor decline in early-stage Parkinson's disease. The efficacy of late thrombolysis in strokes with radiological mismatch has been confirmed. A blood biomarker facilitates early detection of Alzheimer's disease, and Swiss guidelines specify the modality for the use of anti-amyloid therapies in this disease. Finally, in pregnant women with epilepsy, the recommended dose of folic acid has been reduced.

2025年,神经病学领域取得了几项重大进展。抗fcrn和抗c5抗体已证实其治疗重症肌无力的长期疗效。布鲁顿酪氨酸激酶抑制剂扩大了多发性硬化症的治疗武器库。一种靶向α-突触核蛋白的抗体似乎可以减缓早期帕金森病的运动能力下降。晚期溶栓治疗放射失配脑卒中的疗效已得到证实。一种血液生物标志物有助于阿尔茨海默病的早期检测,瑞士的指南规定了在这种疾病中使用抗淀粉样蛋白疗法的方式。最后,在患有癫痫的孕妇中,叶酸的推荐剂量已经减少。
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引用次数: 0
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