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Bandelette urinaire chez le patient hospitalisé : aide diagnostique ou source de confusion ? 住院患者的尿带：诊断辅助还是困惑的来源？
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.711
Jean Regina
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引用次数: 0
[Health democracy and the role of law: challenges and perspectives]. [卫生民主和法律的作用：挑战和观点]。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.680
Mélanie Levy
{"title":"[Health democracy and the role of law: challenges and perspectives].","authors":"Mélanie Levy","doi":"10.53738/REVMED.2025.21.912.680","DOIUrl":"10.53738/REVMED.2025.21.912.680","url":null,"abstract":"<p><p>Health democracy involves the participation of citizens and patients in health-related decisions, thereby strengthening legitimacy and transparency. In Switzerland, this model currently relies mainly on direct democracy tools such as popular initiatives and referendums. However, these mechanisms have limitations, particularly in terms of representativeness. This article explores these challenges and proposes ways to strengthen health democracy by improving participation both upstream and downstream of the legislative process, integrating currently marginalized groups, and using digital tools to enable more inclusive and effective participation.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"680-683"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773313","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
Est-il possible d’éliminer les hépatites virales ? 有可能消除病毒性肝炎吗？
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.712
Francesco Negro
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引用次数: 0
["Talking commits to nothing but listening compels": participatory mechanisms in question]. [“谈话没有任何承诺，但倾听是强制性的”：有问题的参与机制]。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.695
Nelly Sénac, Christina Akre
{"title":"[\"Talking commits to nothing but listening compels\": participatory mechanisms in question].","authors":"Nelly Sénac, Christina Akre","doi":"10.53738/REVMED.2025.21.912.695","DOIUrl":"10.53738/REVMED.2025.21.912.695","url":null,"abstract":"<p><p>Nicolas Rio shared his expertise on participatory democracy during a symposium and workshop on health democracy at Unisanté in August 2024. This article returns to the three key questions discussed: Does social participation make it possible to (re)establish representation for all citizen-actors? What should be the purpose of participatory mechanisms? Isn't the crisis of democracy the result of a crisis of listening rather than one of speaking? Rio's analysis highlights the limits of current systems and suggests ways to improve their impact on public policy formulation and increasing the trust of citizen-actors in their institutions. Although this approach is not limited to health, its conclusions should help stimulate reflection in this arena.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"695-698"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773278","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
[Democracy and health insurance reform in Switzerland]. [瑞士的民主和医疗保险改革]。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.684
Philipp Trein
{"title":"[Democracy and health insurance reform in Switzerland].","authors":"Philipp Trein","doi":"10.53738/REVMED.2025.21.912.684","DOIUrl":"10.53738/REVMED.2025.21.912.684","url":null,"abstract":"<p><p>This article examines the challenges of health insurance reform in Switzerland from a political science perspective. Despite increasing pressure due to rising insurance premiums, major reforms of the system remain difficult to implement. The analysis highlights three mechanisms that hinder these reforms: the institutionalization of the system, which stabilizes existing policies; the role of voters, whose choices are influenced by social and identity factors rather than objective analysis; and the conservative bias of politicians, who often underestimate public support for structural changes. This article thus underscores the inherent constraints of democracy in the field of health policy and the importance of institutional and behavioral dynamics in shaping reforms.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"684-687"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773299","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
[Multiple hypersensitivity versus multiple intolerance to drugs]. [对药物的多重过敏与多重不耐受]。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.660
Eglė Janušonytė, Dayana Jaramillo Loaiza, Peter Jandus
{"title":"[Multiple hypersensitivity versus multiple intolerance to drugs].","authors":"Eglė Janušonytė, Dayana Jaramillo Loaiza, Peter Jandus","doi":"10.53738/REVMED.2025.21.912.660","DOIUrl":"10.53738/REVMED.2025.21.912.660","url":null,"abstract":"<p><p>In everyday practice, many patients experience reactions to substances from different drug families. Multiple Drug Hypersensitivity Syndrome (MDHS) and Multiple Drug Intolerance Syndrome (MDIS) both involve reactions to several unrelated drugs but differ in pathophysiology and clinical presentation. Rare and immune-mediated, MDHS involves T lymphocytes and presents with severe delayed exanthems, eosinophilia, and moderate hepatic cytolysis triggered by at least two chemically distinct drugs. In contrast, MDIS is a diagnosis of exclusion, characterized by adverse reactions-often pseudoallergic and immediate-to three or more unrelated drugs, occurring upon separate exposures with negative allergy tests.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"660-663"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773333","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
Rhinite allergique : la supériorité du traitement intranasal par rapport au traitement oral. 过敏性鼻炎：鼻内治疗优于口服治疗。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.710
Gaël Grandmaison
{"title":"Rhinite allergique : la supériorité du traitement intranasal par rapport au traitement oral.","authors":"Gaël Grandmaison","doi":"10.53738/REVMED.2025.21.912.710","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.912.710","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"710"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773089","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
[Omalizumab for the treatment of food allergies in adults]. [Omalizumab用于治疗成人食物过敏]。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.671
Morgane Schwab, Haïg Nigolian, Thomas Harr
{"title":"[Omalizumab for the treatment of food allergies in adults].","authors":"Morgane Schwab, Haïg Nigolian, Thomas Harr","doi":"10.53738/REVMED.2025.21.912.671","DOIUrl":"10.53738/REVMED.2025.21.912.671","url":null,"abstract":"<p><p>The growing prevalence of food allergies has social and economic impact. Therapeutic options are limited, with food avoidance remaining the main approach. Omalizumab, an anti-IgE monoclonal antibody approved for asthma, nasal polyposis, and chronic spontaneous urticaria, shows promise in treating food allergies. However, this costly treatment requires ongoing administration with an undefined duration and does not allow for the cessation of food avoidance. Further research is needed to define its indications and assess its long-term impact.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"671-674"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773360","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
[Physiopathology and management of chronic urticaria]. [慢性荨麻疹的生理病理及治疗]。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.642
Johan Schwab, Florian Stehlin, Yannick D Muller
{"title":"[Physiopathology and management of chronic urticaria].","authors":"Johan Schwab, Florian Stehlin, Yannick D Muller","doi":"10.53738/REVMED.2025.21.912.642","DOIUrl":"10.53738/REVMED.2025.21.912.642","url":null,"abstract":"<p><p>Chronic urticaria manifests as itchy, transient and migrating wheals and/or angioedema lasting more than 6 weeks. It can be classified as spontaneous or inducible by physical factors. It is secondary to mast cell activation due to autoallergy (type I) or autoimmunity (type IIb). While the initial work-up consists essentially in evaluating the presence of biomarkers, it can be completed according to comorbidities and factors identified with history and physical examination. Second generation antihistamines up to four-times the standard dose are the cornerstone of the management. This initial management can be undertaken by primary care physicians. Specialists should be involved in the presence of physical factors, resistance to antihistamines, or atypical lesions.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"642-647"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772281","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
Capital social. 资本社会。
Revue medicale suisse Pub Date : 2025-04-02 DOI: 10.53738/REVMED.2025.21.912.710
Béatrice Schaad
{"title":"Capital social.","authors":"Béatrice Schaad","doi":"10.53738/REVMED.2025.21.912.710","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.912.710","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 912","pages":"710-711"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772288","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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