Revue médicale suisse
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Revue médicale suisse · Sep 2007
[Some consequences of the application of the new Swiss penal code on legal psychiatry].
The new text of the Swiss penal code, which entered into effect at the beginning of 2007, has many incidences on the practice of the psychiatrists realizing expertises in the penal field or engaged in the application of legal measures imposing a treatment. The most notable consequences of this text are, on the one hand, a new definition of the concept of penal irresponsibility which is not necessarily any more related to a psychiatric diagnosis and, on the other hand, a new definition of legal constraints that justice can take to prevent new punishable acts and which appreciably modifies the place of the psychiatrists in the questions binding psychiatric care and social control.
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Revue médicale suisse · Sep 2007
Review[Antihypertensive therapy according to the ESH/ESC guidelines].
The guidelines of the European society of hypertension and the European society of cardiology have been updated. With regard to antihypertensive treatment, diuretics, beta-blockers, calcium antagonists, angiotensin converting enzyme inhibitors and angiotensin II antagonists are still considered as first line options. Treatment may also be initiated using a fixed dose combination containing two agents lowering blood pressure by different mechanisms. This is particularly true in patients with systolic blood pressure > 160 mmHg and/ or diastolic blood pressure >90 mmHg, as well as in those with high cardiovascular risk.