Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.300
Christian Lovis
{"title":"L’IA dans le futur, et nous dans le passé ?","authors":"Christian Lovis","doi":"10.53738/REVMED.2025.21.905.300","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.300","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"300"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.286
Éric Jaunin, Cécile Courbon
The management of upper respiratory tract pathologies is characterised by shared access to the upper airways between the anesthetic and surgical teams. Numerous strategies have been developed to ensure effective oxygenation and/or ventilation, but these must constantly be adapted to changing surgical imperatives. Access to restricted space and adequate exposure of anatomical structures remain key to efficient management. In recent years, a number of specialised centres have developed spontaneous ventilation techniques, which offer a promising alternative to conventional ventilation, but require fine control of sedation and good communication with the operators to identify suitable cases and control any associated risks.
{"title":"[Tubeless anesthesia in ENT endoscopy].","authors":"Éric Jaunin, Cécile Courbon","doi":"10.53738/REVMED.2025.21.905.286","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.286","url":null,"abstract":"<p><p>The management of upper respiratory tract pathologies is characterised by shared access to the upper airways between the anesthetic and surgical teams. Numerous strategies have been developed to ensure effective oxygenation and/or ventilation, but these must constantly be adapted to changing surgical imperatives. Access to restricted space and adequate exposure of anatomical structures remain key to efficient management. In recent years, a number of specialised centres have developed spontaneous ventilation techniques, which offer a promising alternative to conventional ventilation, but require fine control of sedation and good communication with the operators to identify suitable cases and control any associated risks.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"286-290"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mutations in the BRCA1/2 genes increase the risk of breast and ovarian cancer, leading to complex medical decisions (surveillance, risk-reducing surgery) and major psychological consequences. A support group for BRCA1/2 mutation carriers has been conducted at the CHUV since 2016 by a psychologist-psychotherapist, a genetic counselor, and a geneticist. This article presents the context and then develops some of the psychological issues raised by the participants, focusing in particular on the notions of risk, uncertainty, and guilt. The processes at work in the group, between identification and differentiation, allow for a valuable work of appropriation and subjectivation around the presence of this genetic mutation.
{"title":"[Experience of a support group for women carrying BRCA1/2 mutations].","authors":"Déborah Hersch-Bitter, Yann Lurton, Camille Kumps, Sheila Unger, Laurent Michaud","doi":"10.53738/REVMED.2025.21.905.264","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.264","url":null,"abstract":"<p><p>Mutations in the BRCA1/2 genes increase the risk of breast and ovarian cancer, leading to complex medical decisions (surveillance, risk-reducing surgery) and major psychological consequences. A support group for BRCA1/2 mutation carriers has been conducted at the CHUV since 2016 by a psychologist-psychotherapist, a genetic counselor, and a geneticist. This article presents the context and then develops some of the psychological issues raised by the participants, focusing in particular on the notions of risk, uncertainty, and guilt. The processes at work in the group, between identification and differentiation, allow for a valuable work of appropriation and subjectivation around the presence of this genetic mutation.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"264-266"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.299
Kevin Villat
{"title":"Monothérapie anticoagulante pour la FA et la maladie coronarienne stable : une stratégie indétrônable?","authors":"Kevin Villat","doi":"10.53738/REVMED.2025.21.905.299","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.299","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"299"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.298
Michèle Gennart
{"title":"Prendre soin, une alternative à la destructivité.","authors":"Michèle Gennart","doi":"10.53738/REVMED.2025.21.905.298","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.298","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"298-299"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.295
Alice Baras, Marius Diserens, Paul Tarteret
{"title":"Santé et environnement. Qui va vélo, va sano.","authors":"Alice Baras, Marius Diserens, Paul Tarteret","doi":"10.53738/REVMED.2025.21.905.295","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.295","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"295-297"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.272
Marco Solcà, Lola de Marcos Fuentes, Marie My Lien Rebetez, Nadia Ortiz, Paco Prada
Eating is essential to the survival of any living organism. However, beyond simple nutrition, eating is a source of pleasure that awakens a host of emotions and shapes our first relationships. In eating disorders, this vital process becomes a source of psychological distress, with somatic consequences and an impact on the functioning of the individual and his/her environment. Recently, new diagnostic and etiopathogenic approaches have led to a better understanding of these disorders. The use of innovative techniques, such as neuromodulation, virtual reality, and psychedelics, is paving the way for more targeted and individualized therapies.
{"title":"[Anorexia, bulimia, and binge eating disorder : current situation and future prospects].","authors":"Marco Solcà, Lola de Marcos Fuentes, Marie My Lien Rebetez, Nadia Ortiz, Paco Prada","doi":"10.53738/REVMED.2025.21.905.272","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.272","url":null,"abstract":"<p><p>Eating is essential to the survival of any living organism. However, beyond simple nutrition, eating is a source of pleasure that awakens a host of emotions and shapes our first relationships. In eating disorders, this vital process becomes a source of psychological distress, with somatic consequences and an impact on the functioning of the individual and his/her environment. Recently, new diagnostic and etiopathogenic approaches have led to a better understanding of these disorders. The use of innovative techniques, such as neuromodulation, virtual reality, and psychedelics, is paving the way for more targeted and individualized therapies.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"272-275"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.293
Cristina Rosafio, Jessica Schwaller, Vincent Ribordy
An 81-year-old male, anticoagulated for atrial fibrillation, presented with a cat bite on his left hand. Despite initial prophylactic antibiotic treatment, the patient developed a flexor sheath infection of the hand. Surgical debridement was necessary and confirmed Pasteurella multocida infection. He was treated with intravenous amoxicillin/clavulanic acid, followed by oral therapy for two weeks. The patient recovered fully, with normal hand function at 12 months. This case underscores the importance of early intervention in cat bites, as they carry a high risk of infection.
{"title":"[Beware of cat bites].","authors":"Cristina Rosafio, Jessica Schwaller, Vincent Ribordy","doi":"10.53738/REVMED.2025.21.905.293","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.293","url":null,"abstract":"<p><p>An 81-year-old male, anticoagulated for atrial fibrillation, presented with a cat bite on his left hand. Despite initial prophylactic antibiotic treatment, the patient developed a flexor sheath infection of the hand. Surgical debridement was necessary and confirmed Pasteurella multocida infection. He was treated with intravenous amoxicillin/clavulanic acid, followed by oral therapy for two weeks. The patient recovered fully, with normal hand function at 12 months. This case underscores the importance of early intervention in cat bites, as they carry a high risk of infection.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"293-294"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.53738/REVMED.2025.21.905.291
Caroline Samer
{"title":"Assurer que les nouveaux médicaments mis sur le marché soient sûrs et efficaces.","authors":"Caroline Samer","doi":"10.53738/REVMED.2025.21.905.291","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.905.291","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 905","pages":"291-292"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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