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Avant d’être anesthésiste, tu es médecin. 在你成为麻醉师之前，你是一名医生。
Revue medicale suisse Pub Date : 2025-05-28
Annouk Perret Morisoli
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引用次数: 0
[Management of diabetic dyslipidemia]. 糖尿病性血脂异常的处理。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.47010
Alexandre Ventouras, François R Jornayvaz
{"title":"[Management of diabetic dyslipidemia].","authors":"Alexandre Ventouras, François R Jornayvaz","doi":"10.53738/REVMED.2025.21.920.47010","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.47010","url":null,"abstract":"<p><p>Diabetic dyslipidemia is a very common metabolic disorder, particularly in patients with type 2 diabetes. Characterized by hypertriglyceridemia and a decrease in HDL cholesterol, it is the cause of many cardiovascular comorbidities. It is therefore essential to detect this pathology as early as possible to provide rapid and appropriate management. However, given the increasing number of therapeutic possibilities for treating this disorder, it can be difficult to clinically guide one's choice. In this article, we will discuss the pathophysiology of diabetic dyslipidemia and the resulting management are presented.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1122-1126"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183322","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}
引用次数: 0
[Nutritional management of type 2 diabetes with GLP-1 and GLP-1/GIP agonists]. GLP-1和GLP-1/GIP激动剂对2型糖尿病的营养管理。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.47028
Céline Pabion, Anaëlle Pignolet-Marti, Anne Zanchi, Sylvie Borloz
{"title":"[Nutritional management of type 2 diabetes with GLP-1 and GLP-1/GIP agonists].","authors":"Céline Pabion, Anaëlle Pignolet-Marti, Anne Zanchi, Sylvie Borloz","doi":"10.53738/REVMED.2025.21.920.47028","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.47028","url":null,"abstract":"<p><p>In diabetic patients, treatment with GLP-1 (Glucagon-Like Peptide-1) and dual GLP-1/GIP (gastric inhibitory polypeptide) agonists, such as, respectively, semaglutide and tirzepatide, is effective in lowering blood sugar and reducing weight. However, their use requires dietary monitoring to prevent muscle loss which is often associated with rapid weight loss. The treatment should be accompanied by specific nutritional recommendations, including adequate hydration, quality carbohydrates, as well as a sufficient intake of high-quality proteins and fiber. Physical activity, particularly anaerobic and aerobic exercises, is strongly recommended to maintain muscle mass and support weight loss. Finally, special attention should be given to side effects such as nausea or constipation.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1106-1111"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183022","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}
引用次数: 0
[Prehospital cardiac arrest: concept of First Responders]. 院前心脏骤停：急救人员的概念。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.46692
Alexandre Moser, Sandrine Dénéréaz, Pierre-Nicolas Carron, Fabrice Dami
{"title":"[Prehospital cardiac arrest: concept of First Responders].","authors":"Alexandre Moser, Sandrine Dénéréaz, Pierre-Nicolas Carron, Fabrice Dami","doi":"10.53738/REVMED.2025.21.920.46692","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.46692","url":null,"abstract":"<p><p>Pre-hospital cardiac arrest is associated with a high mortality and morbidity. Early initiation of basic life support and defibrillation play a key role in improving the outcome. The concept of First Responders refers to networks of volunteer rescuers, most of them non-professionals, who intervene at the request of an emergency dispatch centre, ahead of conventional prephospital emergency medical services. These networks associated with public access defibrillation programs, and coupled with improved professional pre-hospital and hospital care, improve the outcome of out-of-hospital cardiac arrest.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1147-1150"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182264","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}
引用次数: 0
[Early gestational diabetes mellitus : from diagnostic uncertainty to clinical management]. 妊娠早期糖尿病：从诊断不确定性到临床管理。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.47234
Adelina Ameti, Olivier Le Dizès, Anaëlle Pignolet-Marti, Sybille Schenk, Hélène Legardeur, Jardena J Puder
{"title":"[Early gestational diabetes mellitus : from diagnostic uncertainty to clinical management].","authors":"Adelina Ameti, Olivier Le Dizès, Anaëlle Pignolet-Marti, Sybille Schenk, Hélène Legardeur, Jardena J Puder","doi":"10.53738/REVMED.2025.21.920.47234","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.47234","url":null,"abstract":"<p><p>Universal screening for gestational diabetes mellitus (GDM) is recommended between 24 and 28 weeks of pregnancy. Untreated GDM is associated with perinatal complications for both mother and child, including an increased risk of macrosomia, dystocia, and preeclampsia, as well as a long-term increased risk of type 2 diabetes in the mother. When GDM is diagnosed early in pregnancy (in the first trimester), it is associated with more frequent and severe perinatal complications (respiratory distress, jaundice, prematurity) and an increased long-term risk of type 2 diabetes in the mother. From a prevention and public health perspective, it is therefore essential to detect early GDM in at-risk populations to prevent these complications. The management of early GDM is multidisciplinary.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1134-1138"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183321","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}
引用次数: 0
[Low-voltage adult electrical injuries in the emergency department reminders of management and pitfalls]. [低压成人电气伤害在急诊科的提醒管理及隐患]。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.46691
Andreia Ferreira-Spicher, Marie Vaucher, Vânia Tavares
{"title":"[Low-voltage adult electrical injuries in the emergency department reminders of management and pitfalls].","authors":"Andreia Ferreira-Spicher, Marie Vaucher, Vânia Tavares","doi":"10.53738/REVMED.2025.21.920.46691","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.46691","url":null,"abstract":"<p><p>Electrical injuries are relatively rare but can be life threatening. Mortality depends on acute cardiac complications, the extent and depth of burns, and trauma from associated falls. A better understanding of the pathophysiology of electric current has made it possible to distinguish between different lesions, which are more or less visible on initial clinical examination. A management plan has been drawn up, enabling healthcare professionals to decide if intensive care monitoring or hospitalization is required, depending in particular on the presence of severity criteria.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1142-1146"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181215","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}
引用次数: 0
[Glucagon-like peptide 1 agonists : the fourth pillar of nephroprotection in type 2 diabetes]. [胰高血糖素样肽1激动剂：2型糖尿病肾保护的第四大支柱]。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.47251
Faiza Lamine, Haithem Chtioui, Anne Zanchi
{"title":"[Glucagon-like peptide 1 agonists : the fourth pillar of nephroprotection in type 2 diabetes].","authors":"Faiza Lamine, Haithem Chtioui, Anne Zanchi","doi":"10.53738/REVMED.2025.21.920.47251","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.47251","url":null,"abstract":"<p><p>GLP1 agonists are the emerging fourth pillar of nephroprotection in type 2 diabetes (T2D), alongside renin-angiotensin system blockers, sodium-glucose cotransporter 2 inhibitors, and finerenone (a non-steroidal mineralocorticoid receptor antagonist). The FLOW study showed that semaglutide 1 mg weekly prescribed in T2D patients with moderate to severe renal disease resulted in a 24 % reduction in the risk of a major renal event (NNT: 20) after a median follow-up of 3.4 years and a 20 % reduction in the relative risk of all-cause mortality (NNT: 39). Tirzepatide (a dual GLP1-GIP agonist) shows promising potential, but further data are awaited. However, their use requires caution, especially with regard to gastrointestinal adverse effects and the risk of muscle loss. A multidisciplinary approach remains essential to optimize their efficacy and safety.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1117-1120"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181357","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}
引用次数: 0
[Health environment. Sustainable anaesthesia : low fresh gas flow with sevoflurane use]. (健康的环境。可持续麻醉：低新鲜气体流量与七氟醚的使用]。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.46890
Julie De Mazières, Roberta Sudy, Mélanie Baumgartner, Laurelie Perret
{"title":"[Health environment. Sustainable anaesthesia : low fresh gas flow with sevoflurane use].","authors":"Julie De Mazières, Roberta Sudy, Mélanie Baumgartner, Laurelie Perret","doi":"10.53738/REVMED.2025.21.920.46890","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.46890","url":null,"abstract":"<p><p>In a context where climate change is a critical issue, anesthesia, particularly through the inhalation of halogenated gases like sevoflurane, represents a significant source of greenhouse gas (GHG) emissions. To promote sustainability, reducing the fresh gas flow (FGF) is recommended to minimize waste, thus contributing to a decrease in GHG emissions. Several international and Swiss recommendations encourage the adoption of low-flow anesthesia, showing that it does not negatively impact renal function. However, Swissmedic guidelines have not yet aligned with these recommendations, limiting the evolution towards more sustainable practices. Reducing FGF would support ecological sustainability, public health, and reduce the costs associated with halogenated gas waste.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1151-1154"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182086","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}
引用次数: 0
Santé sexuelle des personnes ayant une endométriose : le rôle des médecins généralistes. 子宫内膜异位症患者的性健康：全科医生的作用。
Revue medicale suisse Pub Date : 2025-05-28
Sara Arsever
{"title":"Santé sexuelle des personnes ayant une endométriose : le rôle des médecins généralistes.","authors":"Sara Arsever","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1158"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182266","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}
引用次数: 0
Première ligne de soins : pilier du système de santé à soutenir et à valoriser. 一线保健：需要支持和加强的卫生系统的支柱。
Revue medicale suisse Pub Date : 2025-05-28 DOI: 10.53738/REVMED.2025.21.920.47252
Dorian Schaller
{"title":"Première ligne de soins : pilier du système de santé à soutenir et à valoriser.","authors":"Dorian Schaller","doi":"10.53738/REVMED.2025.21.920.47252","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.920.47252","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 920","pages":"1160"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182265","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}
引用次数: 0
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