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The oldest old: the newest focus in end-of-life care?

Viewpoint
Chambaere K
Swiss Med Wkly. 2020;150:w20206

Older people living with serious illness and multiple old-age related co-morbidities are regarded as a group in a highly vulnerable position when it comes to decision making at the end of life. They are largely unempowered and prone to medical paternalism and ageism. Their low functional status can lead to therapeutic pessimism.

Substance use as a function of activity level among young Swiss men

Original article
Diatta ID, Berchtold A
Swiss Med Wkly. 2020;150:w20197

Even though substance users and people with a high level of physical activity are two population groups that have been the subjects of many studies, the general link between substance use and level of physical activity is much less discussed. 

COVID-19 epidemic in Switzerland: on the importance of testing, contact tracing and isolation

Viewpoint
Salathé M, Althaus CL, Neher R, Stringhini S, Hodcroft E, Fellay J, Zwahlen M, Senti G, Battegay M, Wilder-Smith A, Eckerle I, Egger M, Low N
Swiss Med Wkly. 2020;150:w20225

A liberal approach to testing for SARS-CoV-2 in Switzerland is needed as part of the package of control measures.

Potential impact of seasonal forcing on a SARS-CoV-2 pandemic

Original article
Neher RA, Dyrdak R, Druelle V, Hodcroft EB, Albert J
Swiss Med Wkly. 2020;150:w20224

The authors explore how seasonal variation in transmissibility could modulate a SARS-CoV-2 pandemic. The likely aggregated effect of seasonal variation, infection control measures, and transmission rate variation is a prolonged pandemic wave with lower prevalence at any given time, thereby providing a window of opportunity for better preparation of health care systems.

Understanding COVID-19 new diagnostic guidelines – a message of reassurance from an internal medicine doctor in Shanghai

Viewpoint
Bischof E, Chen G, Ferretti MT
Swiss Med Wkly. 2020;150:w20216

The change in diagnostic criteria for COVID-19 diagnosis in Hubei province caused a shift in the numbers of total cases overnight. The aim of this article is to explain the rationale for the choice of the new criteria and the meaning of the new data, from the perspective of the authors based in Shanghai, China, struck by the level of panic and emotional distress in many people that has been generated by the new data.

Preliminary case report on the SARS-CoV-2 cluster in the UK, France, and Spain

Original article
Hodcroft EB
Swiss Med Wkly. 2020;150:w20212

In this article all publicly available information about the primarily UK/France cluster is consolidated, providing a complete and accessible summary of the cases and their connections.

Should systemic sclerosis be recognised as an occupational disease in Switzerland?

Original article
Schmid M, Grolimund Berset D, Krief P, Zyska Cherix A, Danuser B, Rinaldo M
Swiss Med Wkly. 2020;150:w20193

Although the aetiology of systemic sclerosis is not yet completely understood, epidemiological studies have identified several occupational factors, such as exposure to silica, solvents or vibration, that contribute to its development.

Temporal work stressors and satisfaction with work, life and health among health professionals in Switzerland

Original article
Siebenhüner K, Battegay E, Hämmig O
Swiss Med Wkly. 2020;150:w20175

Working in a hospital can be both rewarding and stressful. Whether one or the other is dominant depends on a number of factors ranging from shift work, physical demands, responsibilities and time pressure to job autonomy, work climate and leisure time.

A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint

Original article
Bouaicha S, Wieser K, Kriechling P, Scholz-Odermatt SM
Swiss Med Wkly. 2020;150:w20188

Frozen shoulder is a poorly understood pathological entity which is characterised by a painful and stiff shoulder. No current epidemiological data with respect to frozen shoulder-induced direct and indirect costs to the Swiss national healthcare system are available.

Availability of advance directives in the emergency department

Original article
Slankamenac K, Rütsche N, Keller DI
Swiss Med Wkly. 2020;150:w20184

Emergency departments are crowded with critically ill patients, many of whom are no longer able to communicate with the emergency staff. The availability of advance directives among Swiss ED patients has not been evaluated.

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