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IA et médecine : entre prophétie et propagande. 人工智能与医学：在预言与宣传之间。
Revue medicale suisse Pub Date : 2026-10-07
Sylvain De Lucia
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引用次数: 0
[Proximity psychology : clinical presence and perspectives]. [接近心理学：临床表现和观点]。
Revue medicale suisse Pub Date : 2026-10-07 DOI: 10.53738/REVMED.2026.22.978.48101
Sylvie Rombaldi, Catherine Haenni Chevalley, Nadia Leuzzi Boaretto
{"title":"[Proximity psychology : clinical presence and perspectives].","authors":"Sylvie Rombaldi, Catherine Haenni Chevalley, Nadia Leuzzi Boaretto","doi":"10.53738/REVMED.2026.22.978.48101","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.978.48101","url":null,"abstract":"<p><p>Proximity psychology has developed in hospital settings as a continuation of institutional psychiatry, community psychology, and, more recently, emergency psychology implemented during the Covid-19 pandemic. It is characterized by a discreet and regular clinical presence within teams, aimed at supporting subjectivity, creativity, and collective bonds in a context marked by multiple challenges. By fostering spaces for dialogue and symbolization, it enables staff members to preserve their psychological vitality and to act as authors of their own practice. For the institution, it represents both a sustainable investment in occupational health and an ethical form of resistance. The limits of this activity are linked to various institutional challenges.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 978","pages":"1640-1643"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231151","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
Évolocumab en prévention cardiovasculaire : un bénéfice au-delà de la prévention secondaire ? Evolocumab在心血管预防中的好处：超越二级预防？
Revue medicale suisse Pub Date : 2026-10-07
Sarah Grutter
{"title":"Évolocumab en prévention cardiovasculaire : un bénéfice au-delà de la prévention secondaire ?","authors":"Sarah Grutter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 978","pages":"1646"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231168","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
[What should you request to the laboratory for a patient bitten by a tick ?] 如果一个病人被蜱虫咬了，你应该向化验室提出什么要求？］
Revue medicale suisse Pub Date : 2026-10-07 DOI: 10.53738/REVMED.2026.22.978.49242
Reto Lienhard, Rahel Ackermann-Gäumann, Antony Croxatto
{"title":"[What should you request to the laboratory for a patient bitten by a tick ?]","authors":"Reto Lienhard, Rahel Ackermann-Gäumann, Antony Croxatto","doi":"10.53738/REVMED.2026.22.978.49242","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.978.49242","url":null,"abstract":"<p><p>Ticks are a growing concern for the public, owing to their abundance and a longer activity season. In Switzerland, more than 99% of ticks removed from humans are of the species Ixodes ricinus. This article reviews the tick-borne diseases documented in the country : Lyme borreliosis, tick-borne encephalitis, tularaemia, neoehrlichiosis, anaplasmosis, babesiosis, Borrelia miyamotoi relapsing fever, and rickettsiosis. Carriage of a microorganism by a tick does not imply infection, just as isolated seropositivity does not imply disease. Testing should be guided by pretest probability and disease stage, using validated assays only. Here, the laboratory is a key partner : it guides test selection and the interpretation of results, helping to avoid both under and overdiagnosis.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 978","pages":"1610-1615"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231176","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
Anticoagulants oraux directs : la victoire de l’apixaban ? 口服直接抗凝血药：阿普沙班的胜利？
Revue medicale suisse Pub Date : 2026-10-07
Nicolas Fourré
{"title":"Anticoagulants oraux directs : la victoire de l’apixaban ?","authors":"Nicolas Fourré","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 978","pages":"1647"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231198","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
[Digestive neuroendocrine tumors : the importance of a multidisciplinary approach]. 消化神经内分泌肿瘤：多学科方法的重要性。
Revue medicale suisse Pub Date : 2026-10-07 DOI: 10.53738/REVMED.2026.22.978.e48624
Mariola Marx, Niklaus Schaefer, Karim Cruchon, Gerasimos Sykiotis, Mario Jreige, Christine Sempoux, Stefano La Rosa, Fulvia Serra, Meddy Dalex, Sébastien Godat, Rafael Duran, Emmanuel Melloul, Antonella Diciolla, Anna Dorothea Wagner, Uma Dottrens, Joelle Ho, Valentino Teixeira Farinha, Clarisse Dromain
{"title":"[Digestive neuroendocrine tumors : the importance of a multidisciplinary approach].","authors":"Mariola Marx, Niklaus Schaefer, Karim Cruchon, Gerasimos Sykiotis, Mario Jreige, Christine Sempoux, Stefano La Rosa, Fulvia Serra, Meddy Dalex, Sébastien Godat, Rafael Duran, Emmanuel Melloul, Antonella Diciolla, Anna Dorothea Wagner, Uma Dottrens, Joelle Ho, Valentino Teixeira Farinha, Clarisse Dromain","doi":"10.53738/REVMED.2026.22.978.e48624","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.978.e48624","url":null,"abstract":"<p><p>Gastroenteropancreatic neuroendocrine neoplasms form a heterogeneous and complex group of tumors with varying degrees of malignant potential. Their incidence has significantly increased in recent decades. Due to their generally indolent nature, they are often discovered incidentally or following extensive investigations for nonspecific symptoms, leading to diagnostic delays. Notable advances have been made in diagnostic and therapeutic options, including radionuclide therapy, endoscopic resection or radiofrequency ablation, somatostatin analogs, and targeted molecular therapies. A multidisciplinary approach is essential for their management, enabling clinicians to diagnose and treat these lesions optimally.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 978","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231195","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
[Intrauretheral devices and infection : common beliefs and scientific evidence]. [植入式装置与感染：普遍信念与科学证据]。
Revue medicale suisse Pub Date : 2026-10-07 DOI: 10.53738/REVMED.2026.22.978.49213
Olivier Jung, Kevin Stritt, Nicolas Fleury, Véronique Erard
{"title":"[Intrauretheral devices and infection : common beliefs and scientific evidence].","authors":"Olivier Jung, Kevin Stritt, Nicolas Fleury, Véronique Erard","doi":"10.53738/REVMED.2026.22.978.49213","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.978.49213","url":null,"abstract":"<p><p>Intrauretheral catheters, used for drainage of the upper urinary tract, are associated with mechanical and infectious complications. The risk of infection is associated with the duration of catheterization, the presence of comorbidities, and the clinical context. Microbial colonization of synthetic material, via the formation of a biofilm, is a known and expected phenomenon that is most often clinically insignificant but may be associated with an increased risk of infection, even though a direct causal link between colonization and symptomatic infection has not been established. The management of urinary tract infection and the interpretation of bacteriuria associated with an intrauretheral catheter, rely on an understanding of the interactions between the microbiome and synthetic materials.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 978","pages":"1621-1623"},"PeriodicalIF":0.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231165","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
[Audit and feedback as methods to implement the smarter medicine - Choosing Wisely campaign in Switzerland]. [审计和反馈作为实施更智能医疗的方法-瑞士明智选择运动]。
Revue medicale suisse Pub Date : 2026-10-01 DOI: 10.53738/REVMED.2026.22.1.e48929
Céline Dubas, Hugo-Ken Oulevey, Omar Kherad
{"title":"[Audit and feedback as methods to implement the smarter medicine - Choosing Wisely campaign in Switzerland].","authors":"Céline Dubas, Hugo-Ken Oulevey, Omar Kherad","doi":"10.53738/REVMED.2026.22.1.e48929","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.1.e48929","url":null,"abstract":"<p><p>The overuse of medical care is a major challenge for modern healthcare systems, including in Switzerland, where a substantial proportion of care is considered low-value. The smarter medicine - Choosing Wisely campaign aims to reduce unnecessary tests and treatments. However, despite physicians' agreement with the recommendations, its real-world impact remains limited. Educational strategies alone are insufficient to achieve sustainable change in practice, and implementation approaches are needed. Audit and feedback, by providing clinicians with data on their performance and benchmarking against peers or standards, have shown modest but meaningful improvements in professional practice. This article illustrates their potential through Swiss real-world examples of implementation.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228727","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
[Reducing inappropriate vitamin D testing: an overview]. [减少不适当的维生素D检测：概述]。
Revue medicale suisse Pub Date : 2026-10-01 DOI: 10.53738/REVMED.2026.22.1.e48941
Nathan Gross, Marie Méan
{"title":"[Reducing inappropriate vitamin D testing: an overview].","authors":"Nathan Gross, Marie Méan","doi":"10.53738/REVMED.2026.22.1.e48941","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.1.e48941","url":null,"abstract":"<p><p>25-(OH)-vitamin D testing is an example of low-value care whose prevalence has increased dramatically in recent years. In Switzerland, testing rates doubled in less than a decade, resulting in annual costs of over 100 million Swiss francs, without any demonstrated clinical benefit. This article provides an overview of various national and international approaches aimed at reducing low-value care and overtesting. The analysis compares the effectiveness of informative approaches (smarter medicine - Choosing Wisely), decision support approaches (clinical alerts), restrictive approaches (reimbursement limitations), and multimodal approaches. Recent data reveal that no single approach is sufficient: reimbursement restrictions are effective, but erode rapidly; educational recommendations have a modest, yet lasting, impact; multimodal approaches require continuous monitoring.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228759","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
[Recognizing and managing post-exertional malaise in primary care]. [在初级保健中认识和管理运动后不适]。
Revue medicale suisse Pub Date : 2026-10-01 DOI: 10.53738/REVMED.2026.22.1.e48753
Sara Garcia, Konstantinos Tzartzas, Christian von Plessen, Bernard Favrat, Ioannis Kokkinakis
{"title":"[Recognizing and managing post-exertional malaise in primary care].","authors":"Sara Garcia, Konstantinos Tzartzas, Christian von Plessen, Bernard Favrat, Ioannis Kokkinakis","doi":"10.53738/REVMED.2026.22.1.e48753","DOIUrl":"10.53738/REVMED.2026.22.1.e48753","url":null,"abstract":"<p><p>Post-exertional malaise (PEM) is a syndrome characterized by a worsening of symptoms after physical, cognitive, or emotional exertion. It presents as increased fatigue, usually accompanied by other clinical symptoms, such as muscle pain or cognitive impairment. First described in patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), PEM is now recognized as a hallmark of post-infectious syndromes that have received increasing attention through the emergence of long COVID. PEM is a distinguishing symptom of these conditions, and its early detection and appropriate management are essential to prevent long-term functional decline of affected patients. This review describes the definition and clinical impact of PEM and summarizes current recommendations for its management.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228693","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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