Marcello Ienca
No abstract text is available yet for this article.
January 6, 2023: Swiss Medical Weekly
Roland von Känel, Kim Rosselet, Katharina Gessler, Achim Haeussler, Jessica Aschmann, Hector Rodriguez, Omer Dzemali
AIM OF THE STUDY: In patients undergoing cardiac surgery, preoperative depressive and anxiety symptoms and increased postoperative C-reactive protein (CRP) levels have been associated with adverse outcomes. We tested the hypothesis that preoperative depressive and anxiety symptoms predict elevated in-hospital CRP levels after cardiac surgery. METHODS: The study participants were 96 consecutive patients (mean age [SD], 67.6 [10.3] years, 78.1% men) from a single cardiac surgery centre who underwent either isolated coronary artery bypass grafting (CABG) (n = 34), isolated valve surgery (n = 29), combined procedures (including different combinations of CABG, valve surgery, aortic surgery, and others) (n = 30), or other cardiac surgical procedures (n = 3)...
December 20, 2022: Swiss Medical Weekly
Rebecca Tomaschek, Armin Gemperli, Michael Baumberger, Isabelle Debecker, Christoph Merlo, Anke Scheel-Sailer, Christian Studer, Stefan Essig
INTRODUCTION: This study explores general practitioners' (GPs') and medical specialists' perceptions of role distribution and collaboration in the care of patients with chronic conditions, exemplified by spinal cord injury. METHODS: Semi-structured interviews with GPs and medical specialists caring for individuals with spinal cord injury in Switzerland. The physicians we interviewed were recruited as part of an intervention study. We used a hybrid framework of inductive and deductive coding to analyse the qualitative data...
December 20, 2022: Swiss Medical Weekly
Francesco Tommasini, Pedro Marques-Vidal, Bengt Kayser, Plamena Tasheva, Anisoara Ionescu, Marie Méan
BACKGROUND: Objective mobility goals for elderly hospitalised medical patients remain debated. We therefore studied steps parameters of elderly patients hospitalised for an acute illness, to determine goals for future interventional trials and medical practice. METHODS: Observational study conducted from February to November 2018 in a medical ward of the Lausanne University Hospital, Switzerland. We measured the step parameters of consecutive medical patients aged ≥65 years admitted for an acute medical illness using a wrist accelerometer (Geneactiv)...
December 15, 2022: Swiss Medical Weekly
Niklaus Stulz, Urs Hepp, Stephan Kupferschmid, Nesrin Raible-Destan, Marcel Zwahlen
BACKGROUND: Suicide is a serious societal and health problem. We examined changes in rates of completed suicides in Switzerland between 1969-2018 with particular regard to different methods of suicide used in different subgroups of the resident population. METHODS: We used data of the Swiss cause of death statistics and Poisson regression models to analyse annual incidence rates and calendar time trends of specific suicide methods used in population subgroups by sex (men vs women), age (10-29, 30-64, >64 years), and nationality (Swiss vs other citizenship)...
December 10, 2022: Swiss Medical Weekly
Bianca Albers, Marie-Therese Schulthes, Peter Brauchli, Rahel Naef, Viktor Von Wyl, Lauren Clack
No abstract text is available yet for this article.
December 10, 2022: Swiss Medical Weekly
Roman Dähler, Silvio D Brugger, Michelle Frank, Matthias Greutmann, Juri Sromicki, Ewerton Marques-Maggio, Frank Imkamp, Robert Bauernschmitt, Thierry Carrel, Annelies S Zinkernagel, Barbara Hasse
AIMS OF THE STUDY: Numerous studies from different countries have contributed to an improved understanding of blood culture-negative infective endocarditis. However, little is known about its epidemiology and microbiology in Switzerland. We aimed to assess the epidemiology and microbiology of blood culture-negative endocarditis at the University Hospital Zurich, Switzerland. METHODS: We screened all patients hospitalised between 1997 and 2020 with possible or definite endocarditis at our institution...
December 10, 2022: Swiss Medical Weekly
Andrea Bregenzer, Cornelia Krismer, Stefanie Wendel, Patrik Roser, Christoph A Fux
BACKGROUND: In opioid agonist therapy (OAT) programmes, chronic hepatitis C is highly prevalent and directly observed therapy guarantees optimal adherence. Since 2017, all patients with chronic hepatitis C in Switzerland can be treated with pangenotypic direct-acting antivirals irrespective of liver fibrosis stage. Until the end of 2021, however, prescription was restricted to infectious disease specialists, gastroenterologists and certain addiction specialists. Difficult venous access after long-term intravenous drug use and, in the case of referral to a specialist, difficulties keeping appointments are barriers to HCV diagnosis and treatment...
December 9, 2022: Swiss Medical Weekly
Davide Bosetti, David Spoerl, Arnaud Riat, Claudio De Vito, Stavroula Masouridi-Levrat, Yves Chalandon, Dionysios Neofytos
We report on a case of probable invasive Auerobasidium spp. pulmonary infection in a patient with myelodysplastic syndrome. The patient was successfully treated with liposomal amphotericin B monotherapy, with transition to orally administered isavuconazole. This case shows an atypical initial radiological presentation with diffuse ground-glass opacities, as previously demonstrated in cases of Aureobasidium spp. hypersensitivity pneumonitis. Moreover this case further highlights the difficulties associated with the diagnosis and complexity in the management of Aureobasidium spp...
December 6, 2022: Swiss Medical Weekly
(no author information available yet)
No abstract text is available yet for this article.
December 5, 2022: Swiss Medical Weekly
Chao Wu, Zuowei Wu, Yang Chen, Xing Huang, Bole Tian
AIMS: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel virus belonging to the Coronaviridae family that causes coronavirus disease (COVID-19). This disease rapidly reached pandemic status, presenting a serious threat to global health. However, the detailed molecular mechanism contributing to COVID-19 has not yet been elucidated. METHODS: The expression profiles, including the mRNA levels, of samples from patients infected with SARS-CoV-2 along with clinical data were obtained from the GSE152075 dataset in the Gene Expression Omnibus (GEO) database...
November 21, 2022: Swiss Medical Weekly
Daniel Franzen, Christa Bodmer, Simon Ehrenbaum, Carolin Steinack, Isabelle Opitz, Katrin Docter, Oliver Schöffski
BACKGROUND: Lung volume reduction, either by surgery or bronchoscopically by endobronchial valve treatment have been shown to be a cost-effective alternative compared with conservative therapy. However, there is no comparative analysis of lung volume reduction by surgery and bronchoscopic lung volume reduction using endobronchial valves. OBJECTIVES: The aim of this retrospective study was to provide a cost-effectiveness analysis of lung volume reduction by surgery compared with bronchoscopic lung volume reduction using endobronchial valves...
November 11, 2022: Swiss Medical Weekly
Patrizia Hertach, Karin Huwiler, Eva Aigner-Breuss, Tina Gehlert, Kristina Gaster, Hardy Holte, Leon Straβgütl, Steffen Niemann
BACKGROUND: In Switzerland, as in various other countries throughout the world, elderly drivers have to pass a medical screening assessment every two years to keep their driver's licence. The scientific literature shows no clear evidence that these policies improve road safety. This study evaluated the effects of the Swiss screening policy by comparing the accident and injury rates of elderly road users in Switzerland with those in Austria and Germany, two neighbouring countries without systematic age-based screening policies...
November 10, 2022: Swiss Medical Weekly
Anna S Messmer, Annina Elmer, Roger Ludwig, Carmen A Pfortmueller, Luca Cioccari, Joerg C Schefold
AIMS OF THE STUDY: To describe reasons for medical emergency team (MET) activation over time, to analyse outcomes, and to describe the circadian distribution of MET calls and Intensive Care Unit (ICU) admissions following MET activation. METHODS: Monocentric retrospective observational study of prospectively collected data on all MET calls between 1st of January 2012 until 31st of May 2019. We analysed data on baselines, referring wards, and disposition of all MET patients...
November 9, 2022: Swiss Medical Weekly
Andreas F Widmer
No abstract text is available yet for this article.
November 7, 2022: Swiss Medical Weekly
Adriano Aguzzi, Gérard Waeber
No abstract text is available yet for this article.
November 7, 2022: Swiss Medical Weekly
Bastien Valding, Matteo Monti, Noëlle Junod Perron, Sonia Frick, Cécile Jaques, Mathieu Nendaz, David Gachoud
CONTEXT: Entrustable Professional Activities (EPAs) are observable tasks that are regular parts of a physician's daily clinical work. Before being permitted to accomplish these tasks independently, trainees must gain their supervisors' trust. Defining the list of EPAs that should be mastered by the end of a residency is critical to setting clear expectations about autonomous practice. OBJECTIVE: To collect all the lists of EPAs defined for residencies in general internal medicine and synthesise them into a reference work useful for developing new lists of EPAs or improving existing ones...
November 4, 2022: Swiss Medical Weekly
Julian W März, Tania Manríquez Roa, Bettina Schwind, Nikola Biller-Andorno
No abstract text is available yet for this article.
October 27, 2022: Swiss Medical Weekly
Svenja Ravioli, Michael Haidinger, Aristomenis K Exadaktylos, Emanuel Pluess, Gregor P Lindner
BACKGROUND: Globally, emergency medicine is continuously evolving and in numerous countries, societies and colleges help develop the specialty on a professional and academic level. However, there are countries, including Switzerland, where emergency medicine is not a fully recognised specialty and there is a historical gender gap. AIMS OF THE STUDY: It was the aim of this study to investigate the trends and developments in Swiss emergency medicine in terms of physician workforce, gender equality and academic posts over time...
October 8, 2022: Swiss Medical Weekly
Paolo Paioni, Christoph Aebi, Julia Bielicki, Michael Buettcher, Pierre Alex Crisinel, Christian R Kahlert, Noémie Wagner, Christoph Berger
Infection following surgical procedures leads to significant morbidity and mortality in all age groups. Sterile techniques, antibiotic prophylaxis and improved postoperative wound care have contributed to the decline of surgical site infections since the early days of surgery. Recommendations on the use of perioperative antimicrobial prophylaxis exist for adults, but are rare for the paediatric population. Here, we provide a standardised approach to the effective use of antimicrobial agents for the prevention of surgical site infections in children contributing to a targeted and rational perioperative use of antibiotics in Switzerland...
September 12, 2022: Swiss Medical Weekly
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