{"title":"Le sujet et le verbe.","authors":"François Pilet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 922","pages":"1262-1263"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286456","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":"[Signs of meningism: true clues or false pretenses ?]","authors":"Yohan Depierre, Jean Regina","doi":"10.53738/REVMED.2025.21.922.47321","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.922.47321","url":null,"abstract":"<p><p>A 50-year-old man with no significant medical history presents to the ED with a 2-day history of headache and fever. He also reports severe fatigue, diffuse myalgias, abdominal pain, diarrhea, nausea, and occasional vomiting. Initial examination shows no neck stiffness and negative Kernig's and Brudzinski's signs. Empiric antibiotic treatment with ceftriaxone and metronidazole is started for suspected abdominal infection. The patient rapidly develops hearing loss. On reassessment, marked neck stiffness is noted. Ceftriaxone is intensified, and amoxicillin and acyclovir are added to cover infectious meningitis. Lumbar puncture confirms Haemophilus influenzae meningitis. This article reviews the clinical signs of meningism and their diagnostic value.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 922","pages":"1252-1254"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286413","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}
Maria Conticchio, Émilie Uldry, Emmanuel Melloul, Martin Hubner, Myriam Edjlali, Jean-Emmanuel Bibault, Sadek Beloucif, Jean-Louis Raisaro, David Fuks
{"title":"[Risks, artificial intelligence, human factors, and surgery].","authors":"Maria Conticchio, Émilie Uldry, Emmanuel Melloul, Martin Hubner, Myriam Edjlali, Jean-Emmanuel Bibault, Sadek Beloucif, Jean-Louis Raisaro, David Fuks","doi":"10.53738/REVMED.2025.21.922.47354","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.922.47354","url":null,"abstract":"<p><p>Surgery remains a high-risk activity, despite increasingly sophisticated technologies. Artificial intelligence (AI), when properly regulated, paves the way for safer surgical procedures. It enables the creation of \"digital twins\" to simulate operations in advance, improves the precision of surgical gestures, and promotes knowledge sharing through the analysis of thousands of surgical videos. In the near future, AI will act as a surgical assistant, guiding the surgeon in real time to optimize both safety and effectiveness.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 922","pages":"1237-1239"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286412","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":"Delirium and Parkinson: medications to avoid.","authors":"Ambra Zanini, Carole Elodie Aubert","doi":"10.53738/REVMED.2025.21.921.47351","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.921.47351","url":null,"abstract":"<p><p>Delirium is very common in hospitalized patients with Parkinson's disease. Prevention plays a very important role, but sometimes medication therapy is unavoidable. In this case, several medications are contraindicated due to their anti-dopaminergic effect. These effects can lead to very pronounced extrapyramidal symptoms. If necessary, therapy with quetiapine may be administered. It is important to be aware of patient comorbidities before prescribing a medication to treat delirium.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 921","pages":"1197-1198"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235017","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":"Hypocrisie, schizophrénie ou absence de pilotage de notre système de santé?","authors":"Sarah Fiorentini, Sébastien Amstutz","doi":"10.53738/REVMED.2025.21.921.47350","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.921.47350","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 921","pages":"1203"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235019","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}
Christian von Plessen, Krystel Vasserot, Laure Bonnevie, Veronica Coelho, Emmanuel Dell'Eva, Valérie Piazza, Anthony Staines
{"title":"“What matters to you ?” From campaign to daily practice.","authors":"Christian von Plessen, Krystel Vasserot, Laure Bonnevie, Veronica Coelho, Emmanuel Dell'Eva, Valérie Piazza, Anthony Staines","doi":"10.53738/REVMED.2025.21.921.47318","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.921.47318","url":null,"abstract":"<p><p>The campaign What matters to you? aims to involve patients in their care by asking them this question, rather than the traditional What's the matter with you? Since 2012, the What matters to you day, on June 6 has become an international movement, relayed by the Fédération des hôpitaux vaudois in 2019 and in the canton of Vaud in 2024. In addition to asking the question in clinical settings, the campaign also uses the results at an institutional level to make the organization and its culture more patient-centered. The main themes raised by patients are care relationships, listening, and concrete solutions. For institutions, the key points are the spirit of the question, and the posture required to pose it. Sustaining the campaign requires quality improvement methods, implementation science, and change management.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 921","pages":"1192-1196"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235011","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}
Louise Penzenstadler, Daniele Zullino, Yasser Khazaal
{"title":"Community approaches: care rooted in the daily lives of service users.","authors":"Louise Penzenstadler, Daniele Zullino, Yasser Khazaal","doi":"10.53738/REVMED.2025.21.921.47323","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.921.47323","url":null,"abstract":"<p><p>Community-based approaches in addiction medicine offer flexible care models that are rooted in patients' everyday lives and tailored to social realities. They integrate a psychosocial and recovery-oriented dimension. They include practices such as case management, assertive community treatment, home treatment, housing first, supported employment, street medicine, and peer support. These models help reduce hospitalizations, improve treatment adherence, and contribute to a better quality of life for individuals with addictive disorders, especially those with complex and chronic disorders.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 921","pages":"1175-1177"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235015","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}
Tiphaine Robet, Juliana Santos Cruz, Vincent Artison, Maxime Mellina, Yasser Khazaal
{"title":"Meeting to heal: the role of street work in addiction medicine.","authors":"Tiphaine Robet, Juliana Santos Cruz, Vincent Artison, Maxime Mellina, Yasser Khazaal","doi":"10.53738/REVMED.2025.21.921.47182","DOIUrl":"https://doi.org/10.53738/REVMED.2025.21.921.47182","url":null,"abstract":"<p><p>Outreach has emerged as an essential response to reach marginalised populations and remove barriers to health care. In the field of addiction medicine, this approach has been rethought to address the intertwined vulnerabilities and complex needs of people experiencing marginalisation and drug use. In this context, effective outreach is possible within a strong collaboration between health, social and security actors, and by fully integrating peer support, opening up important and innovative collaborations between these actors to adapt addiction policies and services to the realities on the ground.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"21 921","pages":"1170-1174"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235023","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}