{"title":"smarter medicine — Choosing Wisely Switzerland: de la recommandation à la pratique.","authors":"Omar Kherad","doi":"10.53738/REVMED.2026.22.1.e48945","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.1.e48945","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228741","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":"[Walking prescription: challenges of patient mobilization in hospital].","authors":"Julia I Beck, Carole E Aubert","doi":"10.53738/REVMED.2026.22.1.e48923","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.1.e48923","url":null,"abstract":"<p><p>Low mobility is common during acute care hospitalization and is associated with functional decline, falls, institutionalization, and excess mortality in older adults. Although interventions aimed at increasing in-hospital mobility have demonstrated their effectiveness under research conditions, their application in routine clinical practice remains limited due to reliance on additional resources that are unavailable in everyday clinical settings and insufficient consideration of barriers and facilitators. The INTOMOB project proposes an intervention targeting patients, medical and nursing staff, and the hospital environment, which does not require resources that are unavailable in routine practice. Following a successful pilot study, a multicenter, randomized, controlled trial was conducted in Switzerland with 383 patients, whose results will be published soon.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 1","pages":"13-15"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228721","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}
Hajdi Leroyer, Cecilia Lotto, Alessandro Ishii, Sean C Sheppard, Lukas Anschuetz
{"title":"[Non-ablative surgical therapies for peripheral vertigo].","authors":"Hajdi Leroyer, Cecilia Lotto, Alessandro Ishii, Sean C Sheppard, Lukas Anschuetz","doi":"10.53738/REVMED.2026.22.977.49212","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49212","url":null,"abstract":"<p><p>Peripheral vestibular vertigo requires surgical management in 10 to 20 % of patients, who present persistent symptoms despite conservative treatment. The main indications include Ménière's disease, superior semicircular canal dehiscence, benign paroxysmal positional vertigo, and perilymphatic fistulas. Non-ablative interventions aim to control vertigo while preserving inner ear function. They include endolymphatic sac surgery, semicircular canal occlusion, and perilymphatic fistula repair.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1580-1584"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114552","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":"50 nuances de brun. L’extrême droite populiste et la santé.","authors":"Cécile Fasel","doi":"10.53738/REVMED.2026.22.977.49507","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49507","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1601"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114568","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}
Adrian Kappeler, Carla Manuela Pereira Rodrigues Batista, Giorgio La Scala, Hélène Cao Van
{"title":"[Cleft palate and otitis media with effusion : management and hearing outcomes].","authors":"Adrian Kappeler, Carla Manuela Pereira Rodrigues Batista, Giorgio La Scala, Hélène Cao Van","doi":"10.53738/REVMED.2026.22.977.49088","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49088","url":null,"abstract":"<p><p>Otitis media with effusion is common in children with cleft palate because of persistent Eustachian tube dysfunction. It can lead to conductive hearing loss, which may affect language development. Regular otologic and audiologic monitoring, tailored to the child's age and level of cooperation, is therefore necessary. Management relies on monitoring combined with supportive measures, including adjustments to the school environment. Depending on the functional impact of the hearing loss, tympanostomy tube insertion, conservative measures, or even hearing aids may be considered. The expected hearing benefit must be weighed against the risk of complications, particularly with repeated insertions or long-term grommets.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1576-1579"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114512","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}
Danaé Guedj, Nikita Grieder, Catherine Francq, Marion Bourqui, Leila Sahinpasic, Yoan Guilloux, Giuseppe De Maria, Sandrine Morel, Nicolas Dulguerov
{"title":"[Multidisciplinary follow-up in head and neck cancer : principles and perspectives].","authors":"Danaé Guedj, Nikita Grieder, Catherine Francq, Marion Bourqui, Leila Sahinpasic, Yoan Guilloux, Giuseppe De Maria, Sandrine Morel, Nicolas Dulguerov","doi":"10.53738/REVMED.2026.22.977.49066","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49066","url":null,"abstract":"<p><p>Head and neck cancers and their treatments result in functional, nutritional, and psychosocial sequelae that remain insufficiently integrated into conventional oncological follow-up. Systematic integration of standardized functional assessments and Patient-Reported Outcome Measures facilitates early identification of patients' needs, promoting more personalized multidisciplinary approaches. This article reviews the rationale for longitudinal follow-up in head and neck cancer patients, its clinical relevance, actual recommended tools for functional assessment, and practical aspects of its implementation. The experience developed at the HUG illustrates the feasibility of this approach and its potential to improve care coordination, optimize supportive care, and establish a prospective clinical database to support future research.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1566-1570"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114517","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":"« Healthocide » : l’arme de guerre du 21<sup>e</sup> siècle.","authors":"Sophie Durieux-Paillard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1602"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114589","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":"Réseaux sociaux et santé mentale des jeunes : entre protection et autonomie.","authors":"Sophia Achab","doi":"10.53738/REVMED.2026.22.977.49157","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49157","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1604"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114596","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}
Sibylle Chatelain, Gianmarco Widmer, Dominik Ettlin, Nenad Lukic, Michael Adler, Sandra Van Den Broecke, Martin Broome, Raphaël Heinzer, Karma Lambercy
{"title":"[Custom-made mandibular advancement devices for OSAS and snoring].","authors":"Sibylle Chatelain, Gianmarco Widmer, Dominik Ettlin, Nenad Lukic, Michael Adler, Sandra Van Den Broecke, Martin Broome, Raphaël Heinzer, Karma Lambercy","doi":"10.53738/REVMED.2026.22.977.49323","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49323","url":null,"abstract":"<p><p>Obstructive sleep apnea syndrome (OSAS) remains widely underdiagnosed, despite its well-established cardiovascular and cognitive consequences. Although continuous positive airway pressure (CPAP) remains the first-line treatment for severe OSAS and for moderate OSAS associated with comorbidities, adherence often remains suboptimal. Custom-made mandibular advancement devices (MAD) therefore represent an attractive therapeutic alternative for patients with symptomatic mild to moderate OSAS. Generally better tolerated than CPAP, they are associated with better adherence. This article guides clinicians through the different stages of patient management with MAD : indication, fabrication and treatment follow-up.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1585-1590"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114539","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":"Encore une chose à dire.","authors":"Daniel Widmer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1602-1603"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114594","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}