Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “SWITZERLAND”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,063 records · Page 59Linked to original sources

Violent deaths among adolescents in Switzerland. From epidemiology to prevention.

Violent deaths, including accidental deaths, suicides and homicides, are the main cause of mortality among people aged between 1 and 24 in Switzerland, as in the majority of industrialized countries. During the last 10 years there has been a considerable increase in violent deaths in the 15- to 24-year age range, but this has not been so for other age groups. This article sets out the details of this evolution and makes certain comparisons with other Western countries. In the second part it describes some specific and nonspecific means of prevention, while taking into consideration the reasons for this situation. It finishes by examining the role of medical practitioners in such prevention.

Accidents, Traffic↗

[Epidemiology of risk factors for cardiovascular disease in Switzerland].

Before starting the health education program of the National Research Program 1A "Primary prevention of cardiovascular disease in Switzerland", a baseline assessment in a stratified random sample in Aarau, Solothurn , Nyon and Vevey was performed (1977/1978). Results show the magnitude of the preventive task. 50% of young women and men smoke, 12% of the population has high blood pressure. Only 25% of all hypertensives are well controlled. 14% of the population have elevated serum cholesterol values and 50% are physically inactive after age 30. Finally, 15.5% of those investigated show type A behaviour pattern.

Adolescent↗

[Liver surgery in Switzerland].

In 1981, the surgical departments of the 5 Universities of Switzerland and 5 departments of Cantonal Hospitals and City Hospitals performed a total of 77 liver resections. The most prominent indication was liver metastases (especially from colorectal carcinomas), and lobectomy (hemihepatectomy) was the most commonly performed operative procedure. These data are in agreement with the experience of Zurich University Hospital from 1961-1981: 26 out of 45 liver resections were indicated by liver metastases. The overall postoperative lethality was 6.6%; lethality for resection of metastases was zero.

Hepatectomy↗

[Epidemiology of violent deaths in Switzerland over a period of 10 years. A worrisome development among adolescents and young adults].

Violent deaths include those by accident (in traffic or otherwise), suicide and homicide. The present article studies, for different age groups (children, adolescents, youth, adults and elderly), the evolution of violent death rates in Switzerland over a ten-year period, on the basis of the data collected by the Federal Office for Statistics. These rates show two peaks, in the 15-24 age group and in the elderly (70-74 years of age). From 1 year to 35 years of age, violence is the most common cause of death. From 1970 to 1980, violent death rates tended to decrease for all the age groups considered except the 15-24 year olds, for whom it increased. This last trend is particularly marked for females, so that the difference between violent death rates in women and men is narrowing. Methodological aspects of studies of this kind are discussed, comparisons are drawn with research in other countries and some practical implications of our results are presented.

Accidents, Traffic↗

[Are physicians also sick? Results of a survey carried out in French-speaking Switzerland and Tessin].

The results are presented of a study among 466 physicians in French- and Italian-speaking Switzerland concerning their own health. It emerged that 77.7% of the physicians had had at least one disease during the year studied; in 50% of cases the morbidity was linked to stress and emotivity. Cardiovascular pathology was significantly higher than in the average population. The results reveal striking differences between the different categories of physicians: hospital doctors had more cardiovascular diseases and fewer infectious and pulmonary diseases than physicians running a private practice. Psychiatrists have a higher morbidity rate than the average. General practitioners, psychiatrists and surgeons appear to be especially exposed to stress and emotivity. Pediatricians suffer less from this group of diseases but present a morbidity correlated with that seen in practice, suggesting transmission from patient to doctor.

Adult↗

[Dermatitis caused by the tropical rat mite (Ornithonyssus bacoti) in Switzerland. Case report].

The tropical rat mite, Ornithonyssus bacoti, has been detected in Switzerland for the first time in 3 patients suffering from a small papulous dermatitis. The lesions, distributed over the whole body, were especially intense on the arms and legs. The sting of O. bacoti was always very painful and the itching lasted for several weeks. The parasites were found on the skin of the patients, on one rat caught near the workroom, and in dust samples collected from the infested site.

Adult↗

[Epidemiological and socio-medical problems assoicated with respiratory disorders in Switzerland (author's transl)].

Disorders of the respiratory tract account for about 13 percent of overall mortality in Switzerland, for about 50 percent of all hospital admissions and for about 7 percent of the nursing days. Cases of obstructive respiratory disease, pneumonia and carcinoma of the lung predominate. Morbidity regarding newly discovered cases of tuberculos is still 0.5 percent and 40 percent of the population are still positive reactors. BCG vaccination of newborns and of all tuberculin-negative schoolchildren is the approved prophylactic procedure. Periodic mass radiography of adults on a voluntary basis, aimed at the early diagnosis of pulmonary disorders, shows an incidence of 0.4/1 000 and of 0.3/1 000 for new cases of tuberculosis and lung cancer respectively. Cases of chronic obstructive respiratory disease who require hospitalization for above-average length and are frequently on sick leave present special sociomedical problems.

BCG Vaccine↗

[Mortality trends in Switzerland. 3. Tumors: 1921-1978].

Analysis of mortality from malignant tumours in Switzerland over the period 1921-1978 shows a considerable rise in the death rates from lung cancer and from malignant melanoma, and also an increase in death rates from cancers of pancreas, kidney, bladder, prostate, ovary and breast. Mortality from cancer of stomach (in the past the biggest killer of all cancers) has, on the other hand, drastically decreased; a decline is also observed in death rates from cancers of buccal cavity, oesophagus, gallbladder, rectum, larynx, uterus, and thyroid , as well as from malignant neoplasms of bone and skin (other than melanoma). Moreover, leukaemia mortality in children has markedly declined over the past twenty years. A number of factors are discussed which may have influenced the trend in death rates from the above malignant tumours, namely better diagnoses, changes in classification, new treatments, introduction of screening, and changes in population exposure to risk factors (tobacco, alcohol, irradiations, etc,).

Adolescent↗

[Mortality trends in Switzerland. 2. Infectious diseases 1876-1977].

An analysis has been made of the evolution in Switzerland of mortality due to the main infectious diseases ever since causes of death began to be registered. Mortality due to tuberculosis, diphtheria, scarlet fever, whooping cough, measles, typhoid, puerperal fever and infant gastro-enteritis started to fall long before the introduction of immunization and/or antibiotics. This decline was probably due to a great extent to various factors linked to the steady rise in the standard of living: qualitative and quantitative improvements in nutrition; better public and personal hygiene; better housing and working conditions and improvements in education. Immunization has probably been decisive in the eradication of smallpox and poliomyelitis and for the reduction in mortality from tetanus. The introduction of sulfonamides and antibiotics was associated with the beginning of the decline in mortality from non-meningococcal meningitis, otitis and appendicitis and with a more pronounced decline in mortality from pneumonia and acute rheumatic fever. Finally, mortality from syphilis started to decline a few years after the introduction of Salvarsan.

Accidents, Traffic↗

[Frequency of Escherichia coli resistance in Switzerland].

Monitoring the drug resistance of bacteria is necessary at regional, national and international levels. Over a two-week period in October 1978, 2561 strains of Escherichia coli and coliforms were isolated from stool specimens obtained from 19 civilian institutions (1338 strains) and from 9 army training camps (1223 strains) located all over Switzerland. Only a few of the donors had undergone recent antimicrobial therapy. The bacterial strains were rapidly distributed among 7 Swiss army microbiological field laboratories and tested for resistance against ampicillin, gentamycin, tetracycline and cotrimoxazole by standard disc diffusion techniques. Criteria for the interpretation of inhibition zones were adapted from WHO and NCCLS guidelines. E. coli ATCC 25922 served as a control strain. The overall resistance rates of E. coli and coliforms were 18% for ampicillin, 0.3% for gentamycin, 33% for tetracycline and 4% for cotrimoxazole. Multiple drug resistance patterns involving these four drugs plus sulfisoxazole, streptomycin, kanamycin, chloramphenicol, cefalothin and colistin were analyzed. Many combinations of drug resistances occurred in far higher numbers than was expected from individual drug resistance frequencies, a fact which suggested linkage of resistance genes. The resistance frequencies observed were shown by several tests of reproducibility to be subject to a modest overall error of approximately 20%.

Adult↗

[Current occupational respiratory pathology in Switzerland].

The main features of occupational industrial respiratory diseases in Switzerland can be summarized as follows: -Silicosis: 9750 cases from 1930 to 1979. At present low annual incidence (less than 100 cases), age at first diagnosis over 40 years, at death almost 70 years. - Asbestosis: 130 cases from 1939 to 1979. 30 cases of mesothelioma (21 without asbestosis; 9 with), 9 of bronchial carcinoma and 1 of gastric cancer in the 130 cases of asbestosis. - Acute toxic lung (irritant gases such as chlorine, phosgene, nitrous gases), occupational asthma, extrinsic alveolitis and finally occupational chronic bronchitis are the principal diseases also observed.

Adult↗

[Epidemiology of acute drug poisoning in Switzerland].

In the last five years some 8 in 100 000 people in Switzerland died by poisoning. The majority (74-82%) were suicides, but 14-20% were classified as accidental death. About 40% of all cases involved poisoning by drugs. The most frequent fatal poisons were hypnotics. Among the serious cases reported to the Swiss Toxicological Information Center or admitted to hospital (VESKA statistics), poisonings by combinations of drugs were the most frequent, followed by overdoses of sleeping tablets, analgesics and psychoactive drugs. In children the most frequent causes were analgesics and sleeping tablets. The bromocarbamide poisonings of the early seventies were largely replaced by overdoses of benzodiazepine sleeping preparations and prescription-free barbiturate- and diphenhydramine-containing preparations. In Swiss hospitals the mortality from poisoning by drugs was 1.5%.

Adult↗

The incidence of coeliac disease in children in Switzerland.

In the pediatric hospitals and clinics of Zurich, St. Gallen, Winterthur, Aarau and Lucerne, 488 cases of coeliac disease have been found in children born between 1960 and 1978. The diagnosis was established clinically and confirmed by intestinal biopsy in each case. The data of coeliac patients diagnosed before 1966 and after 1975 has proven to be unreliable for statistical evaluation and were omitted from our calculations. During the years 1966-1975, 354 patients with confirmed coeliac disease and 412733 live births were registered. This corresponds, for the symptomatic coeliac disease, to an incidence of 1:1165 in the Northeastern part of Switzerland. A statistical analysis of the data confirmed its validity and the lack of trends during the period of study.

Celiac Disease↗

[Methods of diagnosis and treatment of idiopathic varicocele in Germany, Austria and Switzerland (author's transl)].

Replies from 115 urological departments, which were part of a general inquiry within Germany, Austria and Switzerland, were evaluated. 37% of all departments perform a varicocelectomy already after the 6th year of age, 68% after 10 years of age. A preoperative phlebography is performed regularly only by 8%, but the phlebography prior to recurrent surgery is carried out by 72%. The most frequent operative method is the Bernardi technique in 39%, the method of Palomo, ligation superior to the internal inguinal ring and lumbal ligation of the spermatic vein are used equally often. The additional dissection of accompanying veins at the level of internal inguinal ring was reported only by 24%. A postoperative inspection with palpation control is regularly performed by 85%, with semen analysis in 58%. No department reported, postoperative results with sperm analysis for more than one year.

Adolescent↗

[The drinking patterns of professionally working women of an industrial enterprise in an urban agglomeration of the north-western part of Switzerland, and its relationship to socioeconomic variables, a pilot study (author's transl)].

In the frame of a pilot-study, a statistically non-representative group of 436 women, employed in an industrial enterprise of north-western Switzerland, were questioned on normal drinking habits with regard to alcoholic beverages. The extent of the consumption and the preferences of different types of alcoholic beverages were correlated with socioeconomic variables. The authors point out that, due to the lower average weight by women and to a possibly different distributive factor and therefore a differing blood-alcohol-concentration, the extent of alcohol consumption has to be scaled differently than by men. Women older than 35 years indicate significantly more often a considerable consumption (p less than 0,02). Significant correlation is given between a higher social status of these women and high consumption, be it in connection with the level of professional training (p less than 0,05), the income (p less than 0,001), or the social class of their fathers. No relationships could be found between consumption and marital status or consumption and place of origin. When high consumption is in evidence, there is a significant correlation with the preference for wine (p less than 0,02), beer (p less than 0,005) or aperitifs (p less than 0,05). The different age-groups show only tendencies to prefer the different types of alcoholic beverages. Although wine is the most popular beverage for all the women examined, it is significantly more often mentioned by women over 35 years, followed by aperitifs, beer and hard liquors. Younger women prefer hard liquors (p less than 0,05), older ones more often choose medicated wine (p less than 0,05). There are also correlations to be found between the preference for an alcoholic beverage and professional status as well as the levels of social status of the fathers and income. Wine is preferred by women with a higher income (p less than 0,01), hard liquors by those from a higher social level of origin (p less than 0,05). These results differ from those out of other inquiries in men and women insofar, as the women in this pilot-study drink less and not as often as men. The correlations with regard to the level of professional training, professional status and income are the same as those described with regard to men. Differences however exist when the beverages preferred by women are examined, since the latter more often prefer wine and less often hard liquors than described when men and women are questioned together.

Adult↗

[The transmission of tick-borne encephalitis in Switzerland. An attempt at establishing a register of natural reservoirs for a seroepidemiologic examination of forest personnel in the middle of the country].

The aim of this investigation was to localize natural foci of tickborne encephalitis (TBE) in Switzerland by means of two approaches. (1) Sera of foresters, who are particularly exposed to TBE, were examined, restricting serum collection to the Plateau between the Lake of Constance and the Lake of Geneva. (2) Virus isolations were performed on 8600 ticks (Ixodes ricinus) collected all over the country. In four regions natural foci of varying size were detected: (1) in the northern parts of the Canton of Zurich in conjunction with the southern parts of the Canton of Schaffhausen, (2) in the region of Horgen on the Lake of Zurich, (3) in the region of Thoune, and (4) in the marshy region situated between the Lakes of Neuchâtel, Bienne and Morat. The morbidity rate in foresters varied from 0-5%, and rose to 12-16% in regions with a known concentration of natural foci. The infection rates in ticks average 0.1%, but, depending on the regions where ticks were collected, maximum rates of 1% were attained.

Antibodies, Viral↗

[National survey on cardiac stimulation in Switzerland in 1980].

The fifth national survey of cardiac pacemaking in Switzerland in 1980 can be summarized as follows: 95% replies; 200 first implants/year/million inhabitants, 85% of the patients being more than 60 years old at the time of the implantation; most of the leads (91.5%) were intraventricular, the majority being unipolar (95%). The indications are now sinusal disorders as often as atrioventricular blocks (45% each). They are based upon clinical and electrocardiographic criteria rather than upon complementary diagnostic tests. The most important developments are the growing number of programmable pacemakers and the introduction of physiological pacing.

Adolescent↗

[Comparison of skin reactions (Mantoux) made with 2 common tuberculins in Switzerland: diagnostic and epidemiologic implications].

Simultaneous tuberculin skin tests (Mantoux) with the two products used in Switzerland (both from RT 23) were compared in 36 individuals. The results show a wide range of scatter with a very poor correlation coefficient. Out of these 36 subjects - of whom 12 had tuberculosis-with positive skin test with one tuberculin, only 11 had a positive result with the other, the mean diameter of the latter being 50% lower. These findings make interpretation of the national tuberculin cadaster hazardous and also render proper diagnosis in individual cases very difficult if the two tuberculins are used. As in other countries, only one tuberculin should be used on the national scale, in order to provide comparable epidemiological data and guarantee better individual diagnosis.

Adult↗