{"title":"[Shadowing as a pedagogical method for teaching interprofessional collaboration].","authors":"Baptiste Pedrazzini, Marie-Garance Meuwly, Nicole Jaunin-Stalder, Marie-Claude Boulet","doi":"10.53738/REVMED.2024.20.895.2135","DOIUrl":"10.53738/REVMED.2024.20.895.2135","url":null,"abstract":"<p><p>Shadowing enables us to follow individuals on a daily basis without disrupting the normal course of their activities. 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. This approach fosters understanding of roles, teamwork and reflection on professional positioning.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2135-2138"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626916","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":"[COMISA: co-morbid insomnia and sleep apnea].","authors":"Dominique Dumas, Jérôme Toriel, Raphael Heinzer, Geoffroy Solelhac","doi":"10.53738/REVMED.2024.20.895.2104","DOIUrl":"10.53738/REVMED.2024.20.895.2104","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a frequent pathology with clinical implications. Its comorbidity with the complaint of insomnia is common, and has been increasingly studied in recent years, due to the multiple negative synergies highlighted by these two conditions, notably on all-cause excess mortality, cardiovascular risk, quality of life and sleep, as well as mental health. This comorbidity between insomnia and sleep apnea has recently been referred to as COMISA («co-morbid insomnia and sleep apnea»). In this article, we explore the relationship between OSA and insomnia, as well as its consequences and currently available treatments, through an analysis of the existing literature.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2104-2109"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626785","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}
Nicolas Coquoz, Benoit Lechartier, Patrick Yerly, Pierre-Olivier Bridevaux
{"title":"[Post-pulmonary embolism syndrome: Litterature review 2024].","authors":"Nicolas Coquoz, Benoit Lechartier, Patrick Yerly, Pierre-Olivier Bridevaux","doi":"10.53738/REVMED.2024.20.895.2099","DOIUrl":"10.53738/REVMED.2024.20.895.2099","url":null,"abstract":"<p><p>Post-pulmonary embolism syndrome is defined as exertional dyspnea or exercise intolerance after an acute pulmonary embolism treated with 3 months of anticoagulation. There are several etiologies including for example chronic thromboembolic pulmonary disease. A specialized work-up including echocardiography and pulmonary scintigraphy should be performed. A probability of chronic thromboembolic pulmonary hypertension is extrapolated so that invasive investigations can be performed if necessary. Identification of this pathology is decisive for specific management. Even without pulmonary hypertension, up to 20 % of patients after pulmonary embolism remain symptomatic with exertional dyspnea. Specific management for these patients needs to be defined.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2099-2103"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626912","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":"Le médecin, son malade et la machine.","authors":"Daniel Widmer","doi":"10.53738/REVMED.2024.20.895.2146","DOIUrl":"10.53738/REVMED.2024.20.895.2146","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2146-2147"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626868","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":"[Volatile organic compounds and respiratory diseases].","authors":"Shuna Myers, Ivan Guerreiro","doi":"10.53738/REVMED.2024.20.895.2116","DOIUrl":"10.53738/REVMED.2024.20.895.2116","url":null,"abstract":"<p><p>Our home is a place of refuge and protection, where we spend an average of 80 % of our time. Indoor air quality is an essential element that directly influences the health and well-being of individuals. The main sources of indoor pollution are human activity, which releases not only fine particles and carbon monoxide, but also volatile organic compounds (VOCs). A growing number of studies show a relationship between respiratory pathologies such as chronic obstructive pulmonary disease, asthma or Sick Building Syndrome, and exposure to VOCs. The aim of this article is to explore the relationship between VOCs and respiratory diseases, as well as the strategies to prevent their effect on health.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2116-2120"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626926","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":"[How to deal with unexplained dyspnoea].","authors":"Stéphane Mouraux, Chloé Cantero, Claudio Rabec, Benoît Lechartier, Aileen Kharat","doi":"10.53738/REVMED.2024.20.895.2122","DOIUrl":"10.53738/REVMED.2024.20.895.2122","url":null,"abstract":"<p><p>Unexplained dyspnoea is defined as a chronic (≥ 3 months) and significant (mMRC ≥ 2) dyspnoea without a diagnosis after clinical examination, chest X-ray, biological work-up and electrocardiogram. This condition affects 15 % of patients with dyspnoea and is associated with prolonged diagnostic delay and difficulties in patient referral. This article presents the definition and epidemiology of unexplained dyspnoea, as well as the useful elements of the history and clinical examination. It covers the specific differential diagnosis and proposes a diagnostic algorithm for the primary care physician. Finally, it discusses possible developments in this field to improve the management of these patients.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2122-2125"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626788","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}
Anne Bergeron, Maurizio Bernasconi, Pierre-Olivier Bridevaux, Bernard Egger, Jean-Marc Fellrath, Antonio Valenti, Christophe Von Garnier, Alain Bigin Younossian
{"title":"Créer l’avenir….","authors":"Anne Bergeron, Maurizio Bernasconi, Pierre-Olivier Bridevaux, Bernard Egger, Jean-Marc Fellrath, Antonio Valenti, Christophe Von Garnier, Alain Bigin Younossian","doi":"10.53738/REVMED.2024.20.895.2091","DOIUrl":"10.53738/REVMED.2024.20.895.2091","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2091"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626934","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}
Radhika Sood, Marco Marando, Pieter-Jan Gijs, Zisis Balmpouzis, Anne Bergeron, Angela Koutsokera, Gregory Berra
{"title":"[Pneumocystis jirovecii infection prophylaxis in non-HIV infected individuals: Risk assessment and modalitiesw].","authors":"Radhika Sood, Marco Marando, Pieter-Jan Gijs, Zisis Balmpouzis, Anne Bergeron, Angela Koutsokera, Gregory Berra","doi":"10.53738/REVMED.2024.20.895.2110","DOIUrl":"10.53738/REVMED.2024.20.895.2110","url":null,"abstract":"<p><p>Pneumocystis jirovecii (PJ), an opportunistic fungus, can have major consequences in terms of morbidity and mortality. These infections occur mainly in immunocompromised patients and are known for their pulmonary tropism (Pneumocystis pneumonia, PCP). While prevention modalities have been studied in HIV-infected populations, evidence is scarce in non-HIV patients. The decision to prescribe prophylaxis for PJ requires assessment of the clinical context, as well as existing risk factors that may predispose an individual to develop PCP. Few indicators exist that are sufficiently sensitive and specific to predict the occurrence of PCP. The decision to use prophylaxis must be made on a case-by-case basis.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2110-2115"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626832","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":"Validation d’un test numérique d’auto-évaluation de dépistage des troubles cognitifs.","authors":"Thibaud Morlan","doi":"10.53738/REVMED.2024.20.895.2146","DOIUrl":"10.53738/REVMED.2024.20.895.2146","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2146"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626893","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":"Santé mentale et psychiatrie : comprendre la distinction et les enjeux actuels.","authors":"Rémy Barbe","doi":"10.53738/REVMED.2024.20.895.2148","DOIUrl":"10.53738/REVMED.2024.20.895.2148","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2148"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626873","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}