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Santé environnement. 健康与环境。
Revue medicale suisse Pub Date : 2024-10-02 DOI: 10.53738/REVMED.2024.20.889.1784
Amélie Keller, Stéphanie Boichat Burdy
{"title":"Santé environnement.","authors":"Amélie Keller, Stéphanie Boichat Burdy","doi":"10.53738/REVMED.2024.20.889.1784","DOIUrl":"10.53738/REVMED.2024.20.889.1784","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366415","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
[Approach to the nasal dorsum in rhinoplasty : preservation or structural?] [鼻整形术中鼻背的处理方法：保留还是结构性处理？］
Revue medicale suisse Pub Date : 2024-10-02 DOI: 10.53738/REVMED.2024.20.889.1765
Serge Daniel Le Bon, Nicolas Dulguerov
{"title":"[Approach to the nasal dorsum in rhinoplasty : preservation or structural?]","authors":"Serge Daniel Le Bon, Nicolas Dulguerov","doi":"10.53738/REVMED.2024.20.889.1765","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.889.1765","url":null,"abstract":"<p><p>In modern rhinoplasty, two foundational approaches for modifying the nasal dorsum developed in the beginning of the 20th century: -preservation and structural techniques. Preservation involves -maintaining the nasal structure by displacing the hump into the nose without directly resecting it. This method preserves structural integrity and avoids nasal valve collapse but can lead to mid-vault widening and hump recurrence. In contrast, structural rhinoplasty entails -directly removing bone and cartilage, offering precise hump reduction but risks over-resection, dorsal irregularities, and mid-vault collapse. The patient's individual anatomical factors guide the practitioner in choosing the most suitable -approach for correcting the nasal dorsum.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366391","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
Ambiguïtés du populisme médical. 医疗民粹主义的模糊性。
Revue medicale suisse Pub Date : 2024-10-02 DOI: 10.53738/REVMED.2024.20.889.1788
Sebastian Dieguez
{"title":"Ambiguïtés du populisme médical.","authors":"Sebastian Dieguez","doi":"10.53738/REVMED.2024.20.889.1788","DOIUrl":"10.53738/REVMED.2024.20.889.1788","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366410","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
[Otosclerosis : clinical presentation and management]. [耳硬化症：临床表现和管理]。
Revue medicale suisse Pub Date : 2024-10-02 DOI: 10.53738/REVMED.2024.20.889.1751
Luca Hoehn, Marcella Pucci, Pascal Senn, Nils Guinand
{"title":"[Otosclerosis : clinical presentation and management].","authors":"Luca Hoehn, Marcella Pucci, Pascal Senn, Nils Guinand","doi":"10.53738/REVMED.2024.20.889.1751","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.889.1751","url":null,"abstract":"<p><p>Otosclerosis is characterized by pathological remodeling of the bone of the otic capsule. Classically, foci of pathological bone leads to progressive fixation of the stapes, resulting in conductive hearing loss. Involvement can be uni- or bilateral. Otoscopy is normal. -Hypoacusis generally appears between the age of 30 to 50, regularly with tinnitus. Sometimes, the inner ear is also affected, with sensori-neural hearing loss or vestibular impairment (vertigo). Successful hearing rehabilitation can be achieved with hearing aids or stapes surgery (stapedotomy). Cochlear implantation is considered in cases of severe or profound sensorineural hearing loss. High resolution CT-scan or Cone Beam CT confirm the diagnosis and optimal planning of surgical treatment.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366395","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
[Overview of head and neck clinical features related to HIV/AIDS]. [与艾滋病毒/艾滋病有关的头颈部临床特征概述]。
Revue medicale suisse Pub Date : 2024-10-02 DOI: 10.53738/REVMED.2024.20.889.1756
Dominik Banto Eckert, Federico Soldati, Florian Desgranges
{"title":"[Overview of head and neck clinical features related to HIV/AIDS].","authors":"Dominik Banto Eckert, Federico Soldati, Florian Desgranges","doi":"10.53738/REVMED.2024.20.889.1756","DOIUrl":"10.53738/REVMED.2024.20.889.1756","url":null,"abstract":"<p><p>HIV infection is characterized by several phases: an acute primary infection, a chronic phase with a progressive decline in CD4+ T lymphocytes, and an advanced disease phase called AIDS. Otorhinolaryngologic conditions affect between 40% and 80% of people living with HIV. Some are specific to AIDS, others are strongly suggestive of HIV infection, and some, though non-specific, are more common in these patients. Recognizing these conditions is crucial to early diagnosis of infection, prompt initiation of antiretroviral therapy, reduction of viral transmission, and prevention of complications. This article explores the diversity of otorhinolaryngologic clinical features seen at different stages of HIV infection.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366396","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
[Tobacco use : guidelines for primary care physicians]. [烟草使用：初级保健医生指南]。
Revue medicale suisse Pub Date : 2024-09-25 DOI: 10.53738/REVMED.2024.20.888.1719
Asmaa Dhina, Clara Probst, Sylvain De Lucia, Thierry Favrod-Coune
{"title":"[Tobacco use : guidelines for primary care physicians].","authors":"Asmaa Dhina, Clara Probst, Sylvain De Lucia, Thierry Favrod-Coune","doi":"10.53738/REVMED.2024.20.888.1719","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.888.1719","url":null,"abstract":"<p><p>Tobacco use affects about 25% of the population and is the most important modifiable risk factor for many diseases, namely cancers, cardiovascular and pulmonary diseases. The role of the primary care physician is essential in providing screening and brief intervention to all patients, particularly to those at higher risk. This will help them to quit smoking, or adopt risk reduction strategies, according to their own wish. The main interventions include motivational support, nicotine replacement therapy and other medications. Vaping has been proved to be efficient for tobacco withdrawal and is still studied as a risk reduction tool. At the moment, it is considered by some as twenty times less harmful than smoked tobacco.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352988","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
[Management of chronic kidney disease in primary care: New practical guidelines in primary care]. [初级保健中的慢性肾病管理：新的初级保健实用指南]。
Revue medicale suisse Pub Date : 2024-09-25 DOI: 10.53738/REVMED.2024.20.888.1687
Anna Silvano, Paolo Di Taranto, Sarah Fiorentini, Sophie De Seigneux, Arun Senchyna
{"title":"[Management of chronic kidney disease in primary care: New practical guidelines in primary care].","authors":"Anna Silvano, Paolo Di Taranto, Sarah Fiorentini, Sophie De Seigneux, Arun Senchyna","doi":"10.53738/REVMED.2024.20.888.1687","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.888.1687","url":null,"abstract":"<p><p>Chronic kidney disease is often encountered in clinical practice, affecting between 8 and 16% of the world's population. Screening for CKD represents a major challenge for patients, given the increase in morbidity and mortality associated with the disease, as well as a public health issue in terms of slowing the progression to end-stage renal failure, which requires costly replacement treatments (dialysis and transplantation). The new KDIGO guidelines suggest aiming for optimal control of the cardiovascular risk factors associated with chronic kidney disease, in particular with the help of emerging treatments such as SGLT2 inhibitors. This article summarises the latest nephroprotection recommendations for primary care physicians.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352984","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
[Syncope : updates in primary care medicine]. [晕厥：初级保健医学的最新进展]。
Revue medicale suisse Pub Date : 2024-09-25 DOI: 10.53738/REVMED.2024.20.888.1707
Amina Ahmed, Céline Spahr, Pawan Prasad, Julien Salamun, Stéphane Bernard
{"title":"[Syncope : updates in primary care medicine].","authors":"Amina Ahmed, Céline Spahr, Pawan Prasad, Julien Salamun, Stéphane Bernard","doi":"10.53738/REVMED.2024.20.888.1707","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.888.1707","url":null,"abstract":"<p><p>Syncope is a common reason for consultations and hospitali-zations. A diagnosis is established in 50 % of cases with the initial assessment. It can also be used to stratify the risk of cardiovascular events or recurrence, and their potentially fatal consequences. This stratification, based on European and American guidelines, is essential for guiding management. Various predictive scores exist, including the Canadian Syncope Risk Score (CSRS), which assesses the risk of serious events within 30 days. The CSRS has limitations in both emergency and outpatient settings. Current guidelines do not include specific scores, highlighting the importance of clinical judgment and the initial assessment for risk stratification.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352987","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
Écho de Douleur. 疼痛回声
Revue medicale suisse Pub Date : 2024-09-25 DOI: 10.53738/REVMED.2024.20.888.1734
Coralie Wenger-Bonny
{"title":"Écho de Douleur.","authors":"Coralie Wenger-Bonny","doi":"10.53738/REVMED.2024.20.888.1734","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.888.1734","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352989","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
[Diagnosing and treating acute and chronic dizziness : new approach in 2024]. [诊断和治疗急性和慢性头晕：2024 年的新方法]。
Revue medicale suisse Pub Date : 2024-09-25 DOI: 10.53738/REVMED.2024.20.888.1702
Farana Haque, Axel Gaspoz, Nils Guinand, Clara Probst
{"title":"[Diagnosing and treating acute and chronic dizziness : new approach in 2024].","authors":"Farana Haque, Axel Gaspoz, Nils Guinand, Clara Probst","doi":"10.53738/REVMED.2024.20.888.1702","DOIUrl":"https://doi.org/10.53738/REVMED.2024.20.888.1702","url":null,"abstract":"<p><p>Diagnosing and treating acute and chronic dizziness is challenging for general physicians with multiple potential etiologies and difficulties in diagnosis. A new classification of dizziness is meant to facilitate diagnosis and treatment, based on the trigger and the timing of dizziness, rather than the quality. The latter is not consi-dered as a reliable information anymore for diagnosis. New studies show the absence of superiority of certain treatments compared to placebo, such as corticotherapy in vestibular neuritis or benzodia-zepine for symptomatic treatment. New consensus has been set regarding chronic dizziness, such as persistent perceptual postural dizziness (PPPD) and cervical dizziness, that might be useful for the general physician.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352980","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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