Revue médicale suisse
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Revue médicale suisse · Jul 2012
Historical Article[Punishment by the invention named after Dr. Guillotin (2)].
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Revue médicale suisse · Jul 2012
Historical Article[Doctor Guillotin and the machine named after him (1)].
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An increasing number of articles are published on the differences about pain in men and women. These differences seem to be due to the sex, the biological dimension of the person, and to the gender, which is the role given to that person in a given social and culture environment. ⋯ Finally doctors translate and treat pain differently. This article proposes some explanations on these differences which should help us to treat this frequent and noxious symptom for the quality of life in a better way.
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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.