Maimouna Mahamat, Pascale Lefuel, Sophie De Seigneux, Anne Dufey Teso
{"title":"[News and perspectives in peritoneal dialysis].","authors":"Maimouna Mahamat, Pascale Lefuel, Sophie De Seigneux, Anne Dufey Teso","doi":"10.53738/REVMED.2025.21.907.366","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.907.366","url":null,"abstract":"<p><p>Kidney disease affects more than 850 million people worldwide and is associated with high morbidity and mortality as kidney function declines. In the stage of chronic end-stage renal disease, extracorporeal replacement therapies such as haemodialysis (HD) and peritoneal dialysis (PD) improve survival and can provide a bridge to kidney transplantation when available. PD has the advantage of providing few haemodynamic disturbances while preserving residual renal function and maintaining a suitable quality of life. However, despite its many advantages, PD is struggling to become the modality of choice in Switzerland. In this article, the current position of PD, its indications, its limitations and possible solutions to increase access to this modality here and elsewhere are reviewed.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 907","pages":"366-371"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516608","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}
{"title":"Il vaut mieux prévenir que guérir.","authors":"Fadi Fakhouri, Sophie De Seigneux","doi":"10.53738/REVMED.2025.21.907.363","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.907.363","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 907","pages":"363-364"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516613","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}
{"title":"[Home hemodialysis: an option to rediscover].","authors":"Géraldine Tagan, Stéphanie Nergoux, Menno Pruijm","doi":"10.53738/REVMED.2025.21.907.394","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.907.394","url":null,"abstract":"<p><p>Hemodialysis started in the United States in the 1960s, followed by the rapid development of home hemodialysis in the 1970s. Currently, 89.1% of patients in Switzerland receive hemodialysis in centers, while only 1.4% receive it at home. More recently, however, there has been a renewed interest in home hemodialysis, thanks to the production of machines that are better adapted to the patients and their home environment. The effectiveness of home hemodialysis has been confirmed by several studies, showing good clinical outcomes and improved quality of life, despite the emotional and logistical challenges. Economic considerations are in favor of home hemodialysis and suggest that it could be a sustainable solution for the healthcare system, provided that its implementation is supported by local policies.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 907","pages":"394-399"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516605","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}
{"title":"Hypertension asymptomatique à l’hôpital : ne pas céder à la pression.","authors":"Jean Regina","doi":"10.53738/REVMED.2025.21.907.411","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.907.411","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 907","pages":"411"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516612","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}
{"title":"Notre métier, tel qu’on aime qu’il soit exercé.","authors":"Jean Martin","doi":"10.53738/REVMED.2025.21.907.410","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.907.410","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 907","pages":"410-411"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516616","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}
Stéphanie Garcia-Tarodo, Caroline Pot Kreis, Géraldine Blanchard-Rohner
{"title":"[Autoimmune diseases of the central nervous system in children : Efficacy or immaturity of the immune system?]","authors":"Stéphanie Garcia-Tarodo, Caroline Pot Kreis, Géraldine Blanchard-Rohner","doi":"10.53738/REVMED.2025.21.906.339","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.906.339","url":null,"abstract":"<p><p>Autoimmune diseases affecting the CNS can be part of a systemic disease, such as systemic lupus erythematosus, or an exclusive neurological disorder, such as multiple sclerosis. While the clinical phenotypes show some overlap, the underlying pathophysiological mechanisms diverge in each condition. The rarity of these dysimmune diseases in paediatrics implies the effectiveness, or immaturity, of the immune system in preventing or rectifying autoimmune reactions induced by various environmental agents. However, when such diseases commence in this age group, they show a particularly inflammatory course which warrants the awareness of their diagnostic criteria and underlying mechanisms, to ensure prompt and appropriate treatment.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 906","pages":"339-344"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459337","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}
{"title":"[What is new in pediatric rheumatological diseases?]","authors":"Manel Mejbri, Aikaterini Koryllou, Géraldine Blanchard-Rohner","doi":"10.53738/REVMED.2025.21.906.328","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.906.328","url":null,"abstract":"<p><p>Juvenile idiopathic arthritis (JIA) and systemic lupus erythematosus (SLE) are complex pediatric rheumatologic diseases with a significant genetic component. These conditions include various subtypes, each of which presents unique diagnostic and therapeutic challenges. Recent advances in biotherapy and genetics have revolutionized the management of these diseases, allowing for more targeted and effective treatments. This article explores the different aspects of JIA and SLE, as well as pediatric systemic vasculitis and certain immune deficiencies associated with dysimmunity, and highlights recent progress in the understanding and treatment of these diseases.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 906","pages":"328-332"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459359","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}
{"title":"[Interprofessional collaboration in family medicine : Teaching through shadowing : cross-views].","authors":"Marie-Garance Meuwly, Baptiste Pedrazzini, Nicole Jaunin-Stalder, Marie-Claude Boulet","doi":"10.53738/REVMED.2025.21.906.346","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.906.346","url":null,"abstract":"<p><p>Shadowing is a teaching method that involves accompanying people in their daily activities without disturbing them. During their final year externship in a family doctor's practice, medical students from the University of Lausanne meet a patient at home and observe other professionals, thus enriching their understanding of collaborative practice. To illustrate this method described in the article «Shadowing as a pedagogical method for teaching interprofessional collaboration»a recently published in this journal, this article presents the experience of a trainee doctor who shadowed a patient and her care network during her externship in family medicine.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 906","pages":"346-350"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459344","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}