[What is social sciences' contribution in the context of health crises and emerging risks? An anthropologist's perspective].

What can the social science contribute during a public health crisis? Reflecting on this question, we turn to the medical anthropologist David Napier, who has developed research tools for understanding the complex drivers of health vulnerability and resilience. Interviewed by Nolwenn Bühler, he shares his vision of the Covid-19 crisis, and the role social sciences should be playing in understanding why populations either trust or mistrust policymakers. In that a crisis, by definition, involves demands on limited resources, social trust is itself put to the test.

[Research about vulnerable populations: challenges and opportunities].

There is an important gap in health knowledge about vulnerable and hard-to-reach groups. The development of research projects and the implementation of interventions require strategies adapted to the particularities of these groups. This article reviews some of the main issues through the lens of recent projects conducted in French-speaking Switzerland.

[First French-speaking days of users of decision support system in clinical pharmacy: Feedback and perspectives].

Clinical decision support systems (CDSS) are tools that have been used for several years by clinical pharmacy teams to support pharmaceutical analysis, with a perspective of contributing to the quality of care in collaboration with the other health care team members. These tools require both technical, logistical and human resources. The growing use of these systems in different establishments in France and in Europe gave birth to the idea of meeting to share our experiences.

[I-CARE: a pioneering e-learning training program on LGBTIQ+ health].

While several recent studies suggest that approximately 1 in 6 young people in Switzerland are part of the rainbow diversity, a high proportion of health professionals have never had a course on LGBTIQ+ (lesbian, gay, bisexual, transgender, intersex, queer, questioning or other) health. This situation leads to significant gaps in the medical care of LGBTIQ+ persons as well as difficulties in accessing equitable, culturally appropriate and quality care. This article presents the ambitious and novel e-learning project I-CARE (Improving Care and Access for Rainbow Equity) which should contribute, from the end of this year, to filling the current gaps in the undergraduate and continuing education of health professionals.

Toward a cohesive understanding of ecological complexity.

Ecological systems are quintessentially complex systems. Understanding and being able to predict phenomena typical of complex systems is, therefore, critical to progress in ecology and conservation amidst escalating global environmental change. However, myriad definitions of complexity and excessive reliance on conventional scientific approaches hamper conceptual advances and synthesis.

[Mindfulness meditation in somatic medicine. A management tool for physical and psychological pain].

Mindfulness meditation is a mind-body approach that helps to cope with psychological or physical symptoms such as pain. To date, this approach is still not widely available to patients in our French-speaking somatic clinical settings, despite its scientific validation. This article describes three mindfulness meditation programs delivered at Lausanne University Hospital (CHUV) to people living with HIV, cancer or chronic pain.

[Chronic pain : from symptom to disease].

At last, chronic pain, with its consequences and impact for patients and society, is now considered as a disease in its own in the 11th revision of the international classification of diseases (ICD). We present here in the light of two clinical cases, why the diagnosis of chronic primary pain is useful and how to utilize these new codes. We hope to rapidly see the awaited impact on the healthcare system (from the patient care to insurance issues), as on research and teaching.

[Anal cancer screening. A decade's experience of a consultation in a tertiary centre].

Anal cancer is a disease with a low but gradually increasing incidence, especially in developed countries. Most of these cancers are caused by the HPV. In Switzerland, more than 70 % of the sexually active population is infected with HPV at least once, making it the most common sexually transmitted disease.

[Surgical management of primary hyperparathyroidism].

Primary hyperparathyroidism (PHPT) is characterized by hypercalcemia due to inappropriate parathyroid hormone (PTH) secretion mostly caused by a single adenoma. Clinical manifestations vary and include bone loss (osteopenia, osteoporosis), kidney stones, asthenia and psychiatric disorders. In 80 % of cases PHPT is asymptomatic.

The development of simple addition problem solving in children: Reliance on automatized counting or memory retrieval depends on both expertise and problem size.

In an experiment, 98 children aged 8 to 9, 10 to 12, and 13 to 15 years solved addition problems with a sum up to 10. In another experiment, the same children solved the same calculations within a sign priming paradigm where half the additions were displayed with the "+" sign 150 ms before the addends. Therefore, size effects and priming effects could be considered conjointly within the same populations.

[Benzodiazepines and elderly : challenges of prescribing and deprescribing].

The elderly represent a group at risk of receiving problematic benzodiazepine (BZD) prescriptions in terms of duration or dose. The objective of this article is to investigate the difficulties related to the initial prescription, renewal, and withdrawal of BZDs in two university hospitals in French-speaking Switzerland. Specifically, we studied the actual use and perceived usefulness of clinical guidelines, the assignment of responsibilities among prescribers, and the assessment of public health risks.

[Therapeutic contracts and opioid agonist treatments: legally and ethically questionable].

In Switzerland, the use of « therapeutic contracts » in the implementation of opioid agonist treatments (OAT) is frequently recommended or even imposed. These documents raise legal and ethical issues, which are presented in this article. The authors recommend that this practice be abandoned.

[Drugs: minors and harm reduction?].

The use of controlled substances (narcotics and psychotropic substances) poses increased risks for minors. However, minors are generally excluded from existing harm reduction services (e.g.

[COPD - An Underestimated Disease].

COPD - An Underestimated Disease Chronic obstructive pulmonary disease (COPD) is a heterogeneous lung condition with a complex clinical picture. The diagnosis is not easy to make because COPD can develop insidiously and remain unnoticed for a long time. Therefore, general practitioners play a central role in the early detection of the disease.

[Acute posterior multifocal placoid pigment epitheliopathy, serpiginous choroiditis and related diseases].

Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE) and serpiginous choroiditis are two diseases classified as "white spot syndromes." Both are inflammatory/autoimmune diseases with suspected primary involvement of the choriocapillaris. The former usually has an excellent prognosis, while the latter can rapidly induce legal blindness.

Belief in School Meritocracy and the Legitimization of Social and Income Inequality.

Educational institutions are imbued with an institutional meritocratic discourse: only merit counts for academic success. In this article, we study whether this institutional belief has an impact beyond its primary function of encouraging students to study. We propose that belief in school meritocracy has broader societal impact by legitimizing the social class hierarchy it produces and encouraging the maintenance of inequalities.

[State of the art management of patients presenting an ischemia with non-obstructive coronary arteries (ANOCA/INOCA)].

Angor with non-obstructive coronary arteries or ischemia with non-obstructive coronary arteries (ANOCA/INOCA) is a condition where a patient experiences symptoms and/or signs of myocardial ischemia, without significant coronary artery stenoses. This syndrome is often caused by a direct imbalance between supply and demand, leading to inadequate myocardial perfusion due to microvascular limitations or coronary arteries' spasms. Although previously considered benign, there is increasing evidence that ANOCA/INOCA is associated with a poor quality of life, significant burden on the healthcare system, and major adverse cardiac events.

[Pharmacological trials evaluating treatment options for neuropsychiatric symptoms in post-COVID. A narrative review].

Post-COVID prevalence's is estimated at 10 % in the general population. The neuropsychiatric symptoms, which are frequent (up to 30 %), can severely affect the quality of life of patients affected by this condition, notably by significantly reducing their working ability. To date, no pharmacologic treatment is available for post-COVID, apart from symptomatic treatments.