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Les patients vont-ils remplacer leur médecin généraliste par l’intelligence artificielle ? 病人会用人工智能取代他们的全科医生吗？
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49467
Stéphanie Sidorkiewicz
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引用次数: 0
[Uptade on myometrial vascular lesions]. [肌层血管病变最新进展]。
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49396
Agathe Contier, Wawrzyniec Rieder
{"title":"[Uptade on myometrial vascular lesions].","authors":"Agathe Contier, Wawrzyniec Rieder","doi":"10.53738/REVMED.2026.22.979.49396","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.49396","url":null,"abstract":"<p><p>Enhanced myometrial vascularity is an acquired condition, secondary to trophoblastic invasion, often mistakenly confused with congenital arteriovenous malformation, from which it differs in its pathophysiology and evolution. Diagnosis is based on transvaginal ultrasound, combining B-mode and color Doppler imaging. Most often asymptomatic, it resolves spontaneously after complete expulsion of the trophoblast. In cases of significant bleeding, active management may be necessary, guided by the severity of symptoms rather than imaging criteria alone.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1662-1666"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239428","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
[Outpatient cervical ripening : which methods and for which patients ?] 门诊宫颈成熟：哪些方法，适合哪些患者？］
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49339
Valeria Lombardi Fäh, Begoña Martinez De Tejada
{"title":"[Outpatient cervical ripening : which methods and for which patients ?]","authors":"Valeria Lombardi Fäh, Begoña Martinez De Tejada","doi":"10.53738/REVMED.2026.22.979.49339","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.49339","url":null,"abstract":"<p><p>Outpatient cervical ripening is an alternative to hospitalization in patients without maternal comorbidity, foetal pathology or obstetric complications requiring continuous monitoring, after a reassuring maternal and foetal assessment. Available evidence suggests efficacy and safety comparable to inpatient management, particularly with mechanical methods, while reducing the time spent in the delivery unit. The use of pharmacological methods such as prostaglandins is supported by an overall reassuring body of evidence, even though a rare adverse event may still occur. Beyond the choice of method, the safety of this approach relies on careful patient selection, organized follow-up, and well-defined criteria for returning to the maternity unit.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1670-1675"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239474","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
[Who cares for the carers ? Breaking the taboo of physicians' mental health]. 谁会关心护工呢？打破医师心理健康的禁忌。
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.e48546
Olivia Massard, Marie Kratzer
{"title":"[Who cares for the carers ? Breaking the taboo of physicians' mental health].","authors":"Olivia Massard, Marie Kratzer","doi":"10.53738/REVMED.2026.22.979.e48546","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.e48546","url":null,"abstract":"<p><p>Physicians' mental health is a key determinant of quality and safety of care yet remains largely taboo within the profession. Nearly 30% of physicians report depressive symptoms, up to 24% anxiety symptoms, and more than one in three meets criteria for clinical burnout. In Switzerland, about 20% of primary care physicians report a recent episode of depression or anxiety. Yet nearly 40% of physicians are reluctant to seek help for a mental health condition, fearing stigma and consequences for their license. This article summarizes recent data, analyzes the individual and systemic mechanisms sustaining this taboo, and proposes concrete measures: training, work organization, confidential access to dedicated care, and institutional destigmatization. Self-care is a professional skill, not a weakness.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239456","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
D-dimères ajustés à l’âge pour limiter les échographies. 年龄调整d -二聚体，以限制超声。
Revue medicale suisse Pub Date : 2026-10-14
Damien Choffat
{"title":"D-dimères ajustés à l’âge pour limiter les échographies.","authors":"Damien Choffat","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1691"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239440","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
[Jehovah's witness patients in obstetrics : challenges and strategies]. ​
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49062
Nordine Ben Ali, Arrigo Fruscalzo, Dominique Schneider-Lauper, Corinne Grandjean-Progin, Anis Féki
{"title":"[Jehovah's witness patients in obstetrics : challenges and strategies].","authors":"Nordine Ben Ali, Arrigo Fruscalzo, Dominique Schneider-Lauper, Corinne Grandjean-Progin, Anis Féki","doi":"10.53738/REVMED.2026.22.979.49062","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.49062","url":null,"abstract":"<p><p>The refusal of blood transfusions by Jehovah's Witness patients is a major challenge in obstetrics. Although transfusions are rare (1.4 % in obstetrics), the lack of blood transfusions during severe hemorrhage significantly increases the risk of maternal death. This article analyzes the shift in the ethical paradigm in Switzerland, marked by the transition from paternalism to respect for the self-determination of the competent patient. It details blood management strategies (PBM), ranging from antenatal hemoglobin optimization to early surgical hemostasis. Multidisciplinary planning and the formalization of an individualized care plan remain the cornerstones of care that respects both values and medical safety.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1682-1686"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239516","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
NSTEMI chez la personne âgée et fragile : l’approche invasive est-elle toujours recommandée ? 老年人和弱势群体的NSTEMI：侵入性方法总是被推荐的吗？
Revue medicale suisse Pub Date : 2026-10-14
Gaël Grandmaison
{"title":"NSTEMI chez la personne âgée et fragile : l’approche invasive est-elle toujours recommandée ?","authors":"Gaël Grandmaison","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1690"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239496","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
[Thrombocytopenia and pregnancy : a practical approach]. [血小板减少症与妊娠：一种实用方法]。
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49277
Hélène Legardeur, Alexia Cuenoud, David Baud, Mathilde Gavillet
{"title":"[Thrombocytopenia and pregnancy : a practical approach].","authors":"Hélène Legardeur, Alexia Cuenoud, David Baud, Mathilde Gavillet","doi":"10.53738/REVMED.2026.22.979.49277","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.49277","url":null,"abstract":"<p><p>Thrombocytopenia affects approximately 10% of pregnancies. It is most often benign (gestational thrombocytopenia), but some causes, particularly immune thrombocytopenia or preeclampsia, require specific management. The diagnostic approach and practical management depend on the medical history, background, gestational age, and severity of thrombocytopenia. A targeted work-up helps exclude serious causes, especially preeclampsia and other microangiopathies, that constitute a clinical emergency. Treatment, only required for severe or symptomatic thrombocytopenia, is tailored on the underlying etiology. This article proposes a practical, evidence-based approach, informed by current guidelines and experience at the CHUV, to guide the primary care physician.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1676-1680"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239426","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
[Oocyte cryopreservation for social purposes : a practical guide and legal framework in Switzerland]. [用于社会目的的卵母细胞冷冻保存：瑞士的实用指南和法律框架]。
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49135
Margaux Salina, Anna Surbone
{"title":"[Oocyte cryopreservation for social purposes : a practical guide and legal framework in Switzerland].","authors":"Margaux Salina, Anna Surbone","doi":"10.53738/REVMED.2026.22.979.49135","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.49135","url":null,"abstract":"<p><p>Oocyte cryopreservation for social reasons (or \"social freezing\") is seeing growing demand among healthy women who wish to preserve their fertility for non-medical reasons, primarily related to age. This narrative review provides practical tools for clinicians to initiate and support egg cryopreservation care, addressing the Swiss legal framework, patient selection criteria, the stimulation procedure, and medico-economic aspects.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1654-1660"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239433","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
Certifier pour mieux soigner : une certification au service des patientes. 更好的护理认证：为患者服务的认证。
Revue medicale suisse Pub Date : 2026-10-14 DOI: 10.53738/REVMED.2026.22.979.49281
Anis Feki, Nordine Ben Ali, Begoña Martinez De Tejada, Manon Vouga
{"title":"Certifier pour mieux soigner : une certification au service des patientes.","authors":"Anis Feki, Nordine Ben Ali, Begoña Martinez De Tejada, Manon Vouga","doi":"10.53738/REVMED.2026.22.979.49281","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.979.49281","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 979","pages":"1651-1652"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239478","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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