[Electronic health record : challenges and possibilities]. / Dossier patient informatisé : défis et possibilités.

Information systems have been driving technological advances in healthcare, especially over the past two decades. Digital health is transforming care by emphasizing efficiency, accessibility, and integrating technology at every stage of the patient journey. The Electronic Health Record (EHR), a software used in hospitals or clinics, emerges as a cornerstone in this transformation by consolidating medical data to facilitate care coordination. This integration promises to enhance the quality of care and the patient-healthcare professional relationship, while presenting practical challenges such as increased documentation. In this article, we explore various aspects of the EHR, addressing its challenges and potential adaptations in our practice.

Les systèmes d'information ont été des moteurs d'avancées technologiques en santé, surtout au cours des deux dernières décennies. La santé numérique révolutionne les soins en mettant l'accent sur l'efficacité et l'accessibilité, intégrant la technologie à chaque étape du parcours du patient. Le dossier patient informatisé (DPI), logiciel utilisé en milieu hospitalier ou dans un cabinet, émerge comme pivot de cette transformation en consolidant les données médicales pour faciliter la coordination des soins. Cette intégration promet d'améliorer la qualité des soins et la relation patient-professionnel de santé tout en posant des défis pratiques tels que la documentation accrue. Dans cet article, nous explorons divers aspects du DPI, abordant ses défis et les adaptations possibles dans notre pratique.

[Non-pharmacological management for inflammatory rheumatic diseases]. / Traitements non médicamenteux des rhumatismes inflammatoires chroniques.

Chronic inflammatory arthritis are conditioners with many drug treatments available. However, many patients still suffer from symptoms impairing their quality of life. It seems necessary to propose complementary therapies favoring patients' involvement in their management. We detail several axes: nutrition and micronutrition, physical activity, management of comorbidities such as obesity, smoking and periodontitis as well as physical therapies with cryotherapy and occupational therapy.

Les rhumatismes inflammatoires chroniques sont des maladies fréquentes avec de nombreux traitements médicamenteux à disposition. Toutefois, un nombre significatif de patients conservent des symptômes qui altèrent leur qualité de vie. Il paraît nécessaire de proposer des thérapies complémentaires adaptées à chaque patient en l'impliquant dans sa prise en charge. Nous détaillons ainsi plusieurs axes : la nutrition et la micronutrition, l'activité physique, la prise en charge des comorbidités telles que l'obésité, le tabagisme et la parodontite, ainsi que les thérapies physiques avec la cryothérapie et l'ergothérapie.

Risk behaviours among native and immigrant youths in Switzerland: a cross-sectional study.

QUESTION UNDER STUDY: Switzerland has been receiving migrants of various origins for more than 50 years. The adoption of risk-taking behaviours among migrant youths is unclear. Moreover, when studied, migrant youths are rarely analysed according to whether they are first or second generation, or just young people with mixed origins. The aim of this study was to assess whether there are any differences between first-and second-generation immigrants, youths of mixed origins and their native peers in Switzerland concerning their engagement in risk behaviours. METHODS: A total of 5834 youths from eleven post-mandatory schools in the canton of Fribourg (Switzerland) participated in the baseline survey of the GenerationFRee study, a longitudinal study to assess their lifestyle. Participants were divided by gender and by origin into: (a) natives: Swiss-born youths with Swiss-born parents, (b) first-generation migrants: foreign-born youths with foreign-born parents, (c) second-generation migrants: Swiss-born youths with foreign-born parents, (d) mixed-origin youths: Swiss-born youths with one Swiss-born parent and one foreign-born parent. Participants reported personal, family and school information, and attitudes towards eight risk behaviours. All significant variables at the bivariate level were included in a binary logistic regression. RESULTS: The logistic regression showed that, compared with natives, first-and second-generation migrant boys were less likely to misuse alcohol. Boys of mixed origins were similar to migrants, although at the bivariate level they were more exposed to risk behaviours than were migrants. First-and second-generation migrant girls were less likely to misuse alcohol but three times more likely to be excessive Internet users. Girls of mixed origin were more likely to have their parents not living together and reported antisocial behaviours almost twice more often. CONCLUSIONS: Our findings expose a lower engagement in risk behaviours among migrants. The migrant status in these two groups is clearly buffered if other control variables are considered. Thus, we can affirm that in the present study, migrants are not a high-risk population or not more at risk than the native group. Mixed origin youths showed higher risk behaviours than natives and migrants. Special attention should be given to this specific group, as they may be more vulnerable during adolescence.