Revue médicale suisse
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Revue médicale suisse · Jun 2012
Review[Acute and postherpetic neuralgia in the elderly: analysis of evidence for therapeutic options].
Initiated within the first 72 hours of the rash, the aim of antiviral drugs prescribing is to reduce both acute neuralgia (AN) and later complications and especially postherpetic neuralgia (PHN). However their analgesic as well as preventative effect on AN and PHN is modest. ⋯ However medication selection and prescribed dosage in the context of old patients' frailty, co-morbidities and often polypharmacy must be carefully considered. Based on analysing the evidences from the literature, this review presents the therapeutic options we have at one's disposal and proposes a stepwise management for both AN and PHN specifically designed for aged population.
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Lobectomy via video-assisted thoracoscopic surgery (VATS) is now considered as a valid alternative to conventional thoracotomy for early-stage primary lung cancer. Various studies have reported that VATS lobectomy is a safe technique associated with fewer postoperative complications and better post-operative recovery than open thoracotomy. Furthermore, studies suggest oncological equivalence between VATS and open lobectomy.
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Revue médicale suisse · Jun 2012
Review Case Reports[Young and migrants: a multidisicplinary approach in a youth clinic in Geneva].
Recent young migrants are a very heterogeneous population with mixed health needs. The global world mortality and morbidity of 12-25 year olds' is mostly related to accidents and other preventable causes or mental disorders. ⋯ The adolescent and young adult program of Geneva University Hospitals is a specialized, multidisciplinary integrated team contributing to improve delivery of care through an easy access to care and preventative activities. In collaboration with Geneva's health network it offers a valuable continuity of care in this population.