Expert consensus‑based clinical practice guidelines for nutritional support in the intensive care unit: the French Intensive Care Society (SRLF) and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP).

The objective of this work was to develop guidelines for nutritional support in critically ill adults and children (excluding neonates and burn patients) unable to maintain an adequate oral intake. We aimed to provide up-to-date recommendations based on high-level evidence including the results of recent landmark randomized controlled trials. Experts from the French Intensive Care Society (SRLF), the French Society of Clinical Nutrition and Metabolism (SFNCM), and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP) used the GRADE methodology to develop the guidelines.

Primary care physician digital health profile and burnout: an international cross-sectional study.

Digital health offers promising solutions for enhancing patient care, yet adoption varies among physicians, partly due to concerns about administrative burdens and burnout. This study assessed digital health use and burnout among primary care physicians in 10 OECD countries and examined their relationship. Methods: We conducted a secondary analysis of "The Commonwealth Fund's 2022 International Health Policy Survey," including 9526 randomly selected primary care physicians (general practitioners or pediatricians in ambulatory care) from 10 OECD countries.

Early Postoperative Evaluation of Arthrogenic Muscle Inhibition, Anterior Knee Laxity, and Kinesiophobia After ACL Reconstruction: A Cross-Sectional Observational Study.

Background: Arthrogenic muscle inhibition (AMI), anterior knee laxity, and kinesiophobia are key barriers to recovery after anterior cruciate ligament reconstruction (ACLR). While each has been independently studied, their interrelationships during the early postoperative phase remain unclear.

Methods: This cross-sectional study included 56 patients (mean age: 26.

The health experience of children, adolescents and their families during the COVID-19 pandemic: an exploratory qualitative study in pediatric homecare.

Introduction: The COVID-19 pandemic has had a significant impact on society. Families with an ill child were more vulnerable to that context. To the best of our knowledge, no study has explored the health experience of the entire family during the COVID-19 pandemic by giving them a voice.

OptiNeoCare: optimisation of routine care in the management of severe perinatal asphyxia in full-term or near-term newborns - study protocol for analysis of suboptimal care by confidential inquiries and e-self report.

Introduction: Severe perinatal asphyxia at term or near term remains a critical public health issue, associated with high risks of neonatal death and hypoxic-ischaemic encephalopathy (HIE). Despite improved clinical guidelines, suboptimal care persists in many cases, and previous audits have demonstrated that up to 50% of asphyxia cases could be associated with suboptimal care. OptiNeoCare is a French study which aims to assess the prevalence and determinants of suboptimal obstetric and neonatal care and evaluate its potential impact on neonatal outcomes.

Rifampicin Exposure in Tuberculosis Patients with Comorbidities in Sub-Saharan Africa: Prioritising Populations for Treatment-A Systematic Review and Meta-analysis.

Background And Objectives: Emerging evidence suggests that comorbidities like human immunodeficiency virus (HIV) infection, diabetes mellitus (DM), and malnutrition in tuberculosis (TB) patients can alter drug concentrations, thereby affecting the treatment outcomes. For these populations, personalised strategies such as therapeutic drug monitoring (TDM) may be essential. We investigated the variations of drug levels within comorbid populations and analysed the differences in patterns observed between sub-Saharan Africa (SSA) and non-SSA regions.

A Scalable Dynamic Cascade Flow Reactor for Challenging Continuous Heterogeneous Processes.

Continuous processes (often referred to as flow chemistry) offers multiple advantages over batch processes and are of particular interest for industrial applications as they provide a more direct path towards process intensification, increased safety and efficiency. However, some chemical processes are still challenging to run in a continuous fashion, such as reactions producing fouling, using stoichiometric amounts of solids, or requiring long residence times. For those kinds of reactions, batch approaches are usually preferred even though some processes would still benefit from the advantages inherent to flow.

Effectiveness of Interventions to Improve Digital Health Literacy in Forced Migrant Populations: Mixed Methods Systematic Review.

Background: Digital health literacy (DHL), recognized as a key determinant of health, can influence health and well-being, improve health equity, and reduce health disparities. However, DHL is often limited among forced migrant populations, who usually lack the skills to understand and evaluate health information or to access and use digital health resources appropriately.

Objective: We aimed to (1) identify effective interventions designed to improve DHL among forced migrant populations and (2) categorize and describe the characteristics of interventions that aim to improve the abilities of forced migrants or adapt digital health services to meet the needs and expectations of forced migrant populations limited by low levels of DHL.

Reverse Linear Neuro Periodization Model for Rehabilitation After Arthroscopic Rotator Cuff Repair: A Narrative Review.

Periodization is a concept of systematic progression in training and rehabilitation. The rehabilitation literature, however, is scarce, with information about optimally designing resistance training programs based on periodization principles for injured athletes. This periodization model-reverse linear neuro periodization-is a model proposed for the long-term rehabilitation needed after an arthroscopic rotator cuff repair.

Bridging the Milk Gap: Integrating a Human Milk Bank-Blood Bank Model to Reinforce Lactation Support and Neonatal Care.

Mother's own milk (MOM) offers the highest protection for preterm and low birth weight infants. However, breastfeeding can be challenging during neonatal hospitalization. When MOM is unavailable, donor human milk (DHM) is the recommended alternative for feeding vulnerable neonates.

Delphi study on first-time parents' perceptions of professional support in the early postpartum period.

Problem And Background: Professional support during the early postpartum period is crucial for first-time parents, yet little is known about which specific professional support behaviours parents consider most important.

Objective: To determine, by consensus, which professional support behaviours are important for first-time parents during the early postpartum period and whether there are differences between mothers and fathers.

Methods: An observational modified two-round Delphi was conducted with 90 first-time parents in the postpartum ward of two Swiss hospitals from July to December 2022.

Neuroplastic periodization in tendinopathy.

Introduction: Periodized rehabilitation for tendinopathies integrates principles of athletic training into structured protocols to optimize tendon healing and functional recovery minimizing recurrence. This review explores the role of concurrent and phasic periodization strategies in tendon rehabilitation, focusing on optimizing strength, power, and neuromuscular control.

Areas Of Agreement: Early phases prioritize pain management and load capacity through prolonged isometric contractions, to improve neuromuscular engagement without exacerbating symptoms.

Postural control impairments following neurotoxic chemotherapy in women with cancer: a prospective observational study.

Purpose: This study aimed to compare changes in postural control in different testing conditions involving sensory disturbances, quality of life and neurotoxicity concerns in women with cancer before and after chemotherapy with taxanes. The second aim was to compare postural control between chemotherapy-induced peripheral neuropathy (CIPN) severity subgroups.

Method: The 33 participants with breast cancer (age 48.

Nutrition and Neuroinflammation: Are Middle-Aged Women in the Red Zone?

Women exhibit unique vulnerabilities in health, especially regarding mental health and neurodegenerative diseases. Biological, hormonal, and metabolic differences contribute to sex-specific risks that remain underrepresented in clinical studies. Diseases such as major depressive disorder (MDD) and Alzheimer's disease (AD) are more prevalent in women and may be influenced by hormonal transitions, particularly during menopause.

Impact of Hamstring Graft on Hamstring Peak Torque and Maximum Effective Angle After Anterior Cruciate Ligament Reconstruction: An Exploratory and Preliminary Study.

Purpose: Anterior cruciate ligament reconstruction (ACLR) using the hamstring graft is commonly performed to restore knee stability; however, it induces significant neuromuscular and biomechanical changes, particularly in the hamstring. This study aimed to evaluate the changes in maximum effective angle, hamstring strength, and hamstring-to-quadriceps (H/Q) strength ratio at 3 and 6 months post-ACLR and compare these outcomes to a control group.

Methods: This prospective controlled study included 20 ACLR patients and 20 age- and gender-matched controls.

Can Unilateral Strength Training Optimize Change of Direction Mechanics and Mitigate Anterior Cruciate Ligament Injury Risk in Female Soccer Players? A Preliminary Pre-Post Intervention Study.

Background: Anterior cruciate ligament (ACL) injuries are a major concern in female soccer players, with change of direction (COD) movements being a key contributor to non-contact injuries. Traditional injury prevention programs have shown limited effectiveness in addressing individual biomechanical deficits. This study aimed to evaluate the effects of a 10-week unilateral strength training program on COD mechanics and ACL injury risk factors.

Navigating the design of simulated exercising peers: insights from a participatory design study.

Background: To fight sedentary lifestyles, researchers have introduced various technological interventions aimed at promoting physical activity through social support. These interventions encourage people to exercise together, maintaining high levels of motivation. However, the unpredictable nature of human peers makes it challenging to control behavior and balance these interventions effectively.

Demand-resource evaluations and post-performance thoughts in classical music students: how they are linked and influenced by music performance anxiety, audience, and time.

Introduction: Musicians' performance experiences range widely, from elation to severe anxiety. In this study, we examined musicians' performance experiences through the lens of the biopsychosocial model of challenge and threat. According to this model, a challenge state arises when perceived resources meet or exceed perceived demands, while a threat state occurs when demands outweigh resources.

Gastrocnemius activation deficits and running biomechanics after anterior cruciate ligament reconstruction: the missing link?

Background: Return to running (RTR) after anterior cruciate ligament reconstruction (ACL-R) remains challenging due to persistent neuromuscular deficits. This study examines gastrocnemius activation and running biomechanics in ACL-R patients.

Methods: Fifteen ACL-R patients and fifteen healthy controls were assessed using surface electromyography during isometric testing and treadmill running (10 km.

Incidence, Risk Factors and Outcomes of SARS-CoV-2 Infection in Pregnant Women: The COROPREG Population-Based Study.

Background: Population-based data are needed to reliably assess the impact of SARS-CoV-2 infection during pregnancy.

Objectives: To estimate the population-based incidence of SARS-CoV-2 infection and its severe forms in the obstetric population, identify risk factors of severe SARS-CoV-2 infection (severe COVID-19) and describe delivery, maternal and neonatal outcomes by disease severity, using a definition of severity based on organ dysfunction.

Methods: A prospective population-based study conducted over the three first pandemic waves between March 2020 and April 2021 in 281 maternity hospitals in six French regions included all women with SARS-CoV-2 infection during pregnancy or within 7 days post-partum, whether symptomatic or not, hospitalised or not.

How does trust emerge in interprofessional collaboration? A qualitative study of the significance, importance, and dynamics of trust in healthcare teams and networks.

The current healthcare context is characterized by increasing care complexity, chronic illnesses, an aging population, and staff shortages. In this setting, care quality is strongly linked to the ability of healthcare workers from various professions to collaborate efficiently and cohesively. Trust is widely regarded as a crucial prerequisite for effective teamwork, yet it can be compromised by multiple factors.

The Impact of Concussions on Neuromuscular Control and Anterior Cruciate Ligament Injury Risk in Female Soccer Players: Mechanisms and Prevention-A Narrative Review.

Soccer players, particularly females, exhibit an increased risk of both concussions and Anterior Cruciate Ligament (ACL) injuries. Emerging evidence suggests that neurcognitive deficits following concussions may impair neuromuscular control, increasing ACL injury susceptibility. This study aims to explore the interplay between concussions, neuromuscular deficits, and ACL injury risk, while proposing targeted prevention strategies.

Relative Validity and Reproducibility of a Semi-Quantitative Web-Based Food Frequency Questionnaire for Swiss Adults.

: Food frequency questionnaires (FFQs) are widely used in large epidemiological studies to assess diet and elucidate its impacts on health. However, they must be validated in the target population before use. : We assessed the relative validity, reproducibility, and usability of the Swiss eFFQ, a web-based, 83-item food frequency questionnaire, using a convenience sample of 177 adults (53.