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Unlabelled: Physical activity (PA) policy is essential for promoting population-level PA by coordinating efforts across various sectors. Global crises like the COVID-19 pandemic can open policy windows, enabling rapid implementation of innovative policies. This study examined how policy windows shaped active transportation (AT) policies during the pandemic, resulting in infrastructural changes.
Methods: A systematic review using PubMed, Scopus, ProQuest-Coronavirus Research Database, Web of Science, WHO COVID-19 Research Database, PsycInfo, and SPORTDiscus conducted to characterize AT policy during the pandemic (2020-2023). Descriptive analyses were conducted in Stata. PROSPERO registration number: CRD42025644930.
Results: The search retrieved 3879 articles; 1162 were duplicates, leaving 2716 eligible. After applying inclusion and exclusion criteria, 14 were selected for data extraction. Findings demonstrate the pandemic's influence on AT policy implementation and its impact on the built environment, such as the creation of bicycle lanes and pedestrian-friendly spaces. While these policies indirectly impacted PA, many were transient and unintended. Regional disparities in case-study cities highlighted mobility alternatives to mitigate SARS-CoV-2 transmission. Enablers and challenges for effective policy implementation were identified.
Conclusion: The pandemic catalyzed global AT policies, demonstrating that urgency and political willpower can expedite policy enactment. Rapid urban infrastructure changes highlighted the potential for swift policy implementation during health emergencies, facilitating utilitarian PA. AT emerged as a practical solution, allowing essential movement. Addressing the immediate crisis proved more effective in implementing AT policies than prepandemic efforts focused on the physical inactivity's health burden. Understanding local sustainability determinants can inform future urban planning for integrating AT initiatives sustainably.
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http://dx.doi.org/10.1123/jpah.2024-0489 | DOI Listing |
Nurs Crit Care
September 2025
School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia.
Background: Optimal oral care is essential in preventing non-ventilator hospital-associated pneumonia and enhancing patient comfort. However, nurses' clinical oral care practices for patients not on mechanical ventilation in the intensive care unit are both underreported and understudied.
Aim: To explore intensive care nurses' clinical oral care practices for patients not on mechanical ventilation in intensive care units.
Stroke
September 2025
Department of Neurology, Yale School of Medicine, New Haven, CT (L.H.S.).
Preclinical stroke research faces a critical translational gap, with animal studies failing to reliably predict clinical efficacy. To address this, the field is moving toward rigorous, multicenter preclinical randomized controlled trials (mpRCTs) that mimic phase 3 clinical trials in several key components. This collective statement, derived from experts involved in mpRCTs, outlines considerations for designing and executing such trials.
View Article and Find Full Text PDFF1000Res
September 2025
CultureBase Consulting, Cambridge, UK.
Background: Over the past decade, calls for research assessment reform have grown, led by initiatives such as the Declaration on Research Assessment (DORA) and the Leiden Manifesto, and, more recently, the Coalition for Advancing Research Assessment (CoARA). A key element being discussed as part of research assessment reform is a shift towards more qualitative assessments, focussed on the content of research and the broad skills and competencies of researchers, and the array of contributions they make to knowledge creation and innovation. Narrative CV formats have emerged as a good practice example for enabling qualitative assessments of research projects and researchers, and are becoming more widely piloted and implemented.
View Article and Find Full Text PDFOpen Res Eur
September 2025
Clinical trial unit, Armauer Hansen Research Institute, Addis Ababa, 1005, Ethiopia.
Background: According to the Council of International Organizations and Medical Sciences (CIOMS) 2016, post-trial access (PTA) refers to the ethical imperative that requires the sponsor, researchers, and relevant public health authority, "to make available as soon as possible any intervention or product developed, and knowledge generated, for the population or community in which the research is carried out." Law, policy, and practical guidance for PTA has so far been vague but has recently attracted and increased attention in the context of benefit sharing of scientific research results with low- and middle-income countries (LMICs).Although the number of clinical trials conducted in the Sub Saharan (SSA) countries has increased in the past two decades, plans and practices for PTA are underreported.
View Article and Find Full Text PDFNat Rev Microbiol
September 2025
National Centre for Antimicrobial Stewardship, Department of Infectious Diseases, Melbourne Medical School, The University of Melbourne, Carlton, Victoria, Australia.
The global rise of antimicrobial resistance (AMR) poses a profound threat to human, animal and environmental health. Although antimicrobials have revolutionized modern medicine, their overuse and misuse have accelerated AMR, necessitating urgent, multisectoral action. Antimicrobial stewardship (AMS), a set of coordinated strategies that promote responsible antimicrobial use, has emerged as a key intervention in managing AMR.
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