Tind Technologies (Norway)
Hes-so: ArODES Open Archive (University of Applied Sciences and Arts Western Switzerland / Haute école spécialisée de Suisse occidentale / FH Westschweiz)Not a member yet
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Development and validation of the QASSH scale ::a tool for assessing the quality of simulation scenarios in healthcare education
No full textRelative validity and reproducibility of a semi-quantitative web-based Food Frequency Questionnaire for swiss adults
No full textBackground/Objectives: 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. Methods: 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 (53.1% females, aged 18–75 years) from German- and French-speaking regions of Switzerland. The participants completed the Swiss eFFQ twice and kept a 4-day estimated food record (4-d FR). The dietary data were compared for energy, nutrient, and food group intakes by calculating mean group-level bias, performing the Wilcoxon signed-rank test, quartile cross-classification, weighted Cohen’s kappa (Kw), and correlation coefficients. Results: The Swiss eFFQ was highly rated by the participants, with a completion time under 35 min, although it tended to underestimate nutrient and food intake compared to the 4-d FR. For 31 of 36 nutrients, fewer than 10% of the participants were classified in opposite quartiles. The median proportion of subjects classified in the same or adjacent quartile was 74.7% (median Kw: 0.25). The median crude and de-attenuated Spearman correlation coefficients were 0.37 and 0.42 for nutrients and 0.45 and 0.52 for food groups, respectively. The median Spearman and intraclass correlation coefficients for the reproducibility of the Swiss eFFQ were 0.70 and 0.69 for nutrients and 0.70 and 0.61 for food groups, respectively. Conclusions: The Swiss eFFQ was shown to be reproducible and user-friendly, with acceptable accuracy in categorizing study participants based on food intake, and offers several advantages for dietary assessment of Swiss adult populations
Transvaginal ultrasound assessment of corpus callosal length in the fetus ::multicenter cross‐sectional study
No full textObjective: To produce reference ranges and Z-scores for corpus callosal (CC) length in the fetus, based on transvaginal three-dimensional (3D) ultrasound imaging. Methods: This was a cross-sectional multicenter retrospective study based on 3D volume dataset acquisitions of the fetal CC between the 15th and 37th weeks of gestation. Only volume datasets acquired transvaginally through the anterior fontanelle were selected. After plane alignment on multiplanar imaging, the length of the CC was measured edge-to-edge on magnified images. Intra- and interobserver variability were assessed and the related intraclass correlation coefficients (ICC) calculated. Biometric charts to assess the reference values for fetal CC were obtained using the method proposed by Altman in 1993. Results: The 13 participating centers provided valid data for 2131 patients. Excellent agreement was observed for both intra- and interobserver analysis, with an ICC range of 0.98–1.00. A quadratic model was used for construction of the reference charts, modified with the insertion of cubic spline coefficients with a single knot at 18 gestational weeks, to recover an apparent lack of fit at lower gestational ages. Centile reference values and the corresponding Z-scores were produced for CC length between 15 and 37 gestational weeks. Conclusions: This multicenter study presents growth charts for the fetal CC, addressing the critical methodological weaknesses of several previous studies. An even distribution of cases across all gestational weeks, robust statistical methodology and a standardized, high-resolution transvaginal neurosonographic technique represent key factors supporting the reliability of the biometric curves presented here. © 2025 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology
Comment on “Associations of semaglutide with first‐time diagnosis of Alzheimer's disease in patients with type 2 diabetes ::arget trial emulation using nationwide real‐world data in the US”
No full textProtocol for a mixed-methods research project to develop and test the feasibility of a virtual nursing intervention promoting engagement and self-management in diabetes ::the PIAVIR study
No full textBackground: Diabetes has far-reaching negative impacts on the biological, physiological and psychosocial
health of people living with the disease and their families, placing a heavy burden on health systems worldwide. Self-management education and support have a critical role to play but are insufficiently used. Therefore,
there is a need to develop and implement effective support interventions for this population.
Methods: This study protocol comprises the development and feasibility testing phases of a virtual nursing
intervention named PIAVIR (Pratique infirmière avancée virtuelle – Virtual advanced nursing practice), using
the Medical Research Council framework for developing complex interventions. PIAVIR is based on humanistic-centred theories of education: adult learning theory, experiential learning and transformative learning,
as well as the results from focus group interviews with healthcare professionals and people with type 1 or
type 2 diabetes. The feasibility testing will include 60 participants recruited and randomised to either the
intervention group with immediate access to the intervention for 6 months or to the waiting-list control
group with access to the intervention after a 6-month waiting time. Both groups will be followed-up for
another 6 months post-intervention. Outcome measures will be collected at baseline, 6 months and
12 months. Findings will be evaluated against predetermined feasibility criteria and changes in metabolic
and psychosocial outcomes.
Results: This paper presents the study protocol and describes and discusses the development and feasibility
phases of the PIAVIR virtual intervention. The results of the feasibility study cover primarily: acceptability,
feasibility, recruitment and completion of the newly developed intervention, as well as metabolic and psychosocial measures.
Conclusion: This study contributes to the development of effective virtual self-management education and
support interventions and informs a larger randomised controlled trial to examine the effectiveness of the
intervention in different populations and multiple sites.
Ethics and dissemination: This study has ethical approval from the Research Ethics Committees of Canton
Vaud (CER-VD-2021-01763). The results will be disseminated to professional and lay audiences.
Trial registration number: International Standard Randomized Controlled Trial Number registry
ISRCTN30640743
Wood constitutive law implementation and parameter calibration using Bayesian inversion for finite-element modelling
No full textThis paper presents three-dimensional finite element simulations of wooden structures using metal connections that employ an elastic-plastic damage model in order to simulate the nonlinear behaviour of wood. The wood constitutive law relies upon orthotropic material parameters, associated plasticity and continuum damage mechanics (CDM) to take into account the following properties of wood : anisotropy, brittle failure in tension, plasticity and ductile failure in compression. The model used in this paper is implemented as a user subroutine of the finite element software ZSoil. Experimental uniaxial compression tests on small wood samples are utilized to conduct a calibration of the material parameters. This calibration is performed by generating a Polynomial Chaos Expansion surrogate model of the true finite-element model, which is then used for a Bayesian inversion on the experimental data from tests on small wood samples. The constitutive model with the calibrated material parameters is then used to numerically reproduce experimental tests on wooden structures. The results demonstrate the model’s capability to reasonably approximate the nonlinear behaviour of wood along with its interaction with metal connections, opening up interesting prospects for engineers to better understand and optimise wooden structures
La santé mentale des jeunes en discours et en pratiques ::une réception contrastée dans le champ sociosanitaire
No full textDans un contexte caractérisé par une attention publique renforcée envers la santé mentale des jeunes, cet article entend analy-ser la réception contrastée dont ce problème fait l’objet auprès des corps professionnels des domaines de la santé et du social. Tout d’abord, nous exposerons brièvement quelques éléments du contexte dans lequel la santé mentale des jeunes est portée à l’attention publique. Puis nous nous attacherons à mettre en évidence la volonté tendancielle du pôle médical de dépathologiser « la santé mentale ». Enfin, nous soulignerons les oscillations du pôle social entre bonne volonté à promouvoir la santé mentale des jeunes et lutte pour la reconnaissance de leur expertise spécifique. Cet article est fondé sur une analyse ethnographique des propos exprimés à l’occasion d’une journée de réflexion professionnelle ainsi que sur les enseignements tirés de quelques re-cherches menées en sciences sociales portant sur les transformations de la psychiatrique publique depuis les années 1990. Il entend soutenir l’hypothèse que les modes d’appropriation différenciés des corps professionnels sociosanitaires demeurent ty-piques d’un régime de légitimités professionnelles inégales liées à leur proximité ou à leur distance avec le pôle du pouvoir médical. Ce phénomène s’inscrit dans un contexte marqué par une psychiatrisation du social doublée d’une sanitarisation de la psychiatrie.Die psychische Gesundheit von Jugendlichen wird heute immer stärker öffentlich thematisiert. In diesem Artikel wird analysiert, inwiefern verschiedene Berufsgruppen im Gesundheits- und Sozialwesen unterschiedlich auf die psychische Gesundheit von jun-gen Menschen blicken. Zunächst gehen wir kurz auf den Kontext ein, in welchem dieses Thema in den öffentlichen Fokus rückt. Danach zeigen wir, dass die medizinische Fachwelt versucht, psychische Gesundheit zu «entpathologisieren». Anschliessend schauen wir auf das Sozialwesen: Es möchte die psychische Gesundheit von Jugendlichen verbessern, kämpft aber gleichzeitig darum, dass sein eigenes Fachwissen anerkannt wird. Der Artikel basiert auf einer ethnografischen Untersuchung. Darin wurden erstens Aussagen von Fachpersonen an einem beruflichen Reflexionstag ausgewertet. Und zweitens wurden sozialwissenschaft-liche Studien einbezogen, die sich mit der Entwicklung der öffentlichen Psychiatrie seit den 1990er-Jahren beschäftigen. Wir ver-treten die These, dass die verschiedenen Berufsgruppen das Thema psychische Gesundheit unterschiedlich angehen – je nach-dem, wie nah sie an der medizinischen Sichtweise sind. Dieses Spannungsfeld zeigt, wie sich Gesundheits- und Sozialwesen ge-genseitig beeinflussen: das Soziale wird zunehmend «psychiatrisiert», und gleichzeitig wird die Psychiatrie stärker durch soziale Aspekte geprägt
Self-management support for cancer survivors ::a descriptive evaluation of the Symptom Navi Training from the perspective
No full textMending little hearts ‘for life’? ::promises of a cure and experiences of chronicity in a context of unequal access to paediatric heart surgery
No full textCongenital heart defects (CHDs) are the most common type of major birth defects worldwide. Yet globally, access to high quality treatment is very limited and uneven with most patients living in places without adequate diagnostic or treatment. Based on ethnographic engagement with Beninese and Togolese children undergoing surgical treatment in Switzerland through a humanitarian medicine programme, this paper explores the multiple temporalities and experiences of chronicity at play in the lived experiences of families with children with CHDs in a context of profound health inequalities. These temporal experiences encompass the various promises of a cure made to them, ensuring continued investment in their child’s health, experiencing a sense of rebirth, and navigating the potential risks of future complications. The article highlights how families facing CHDs in underserved regions encounter distinct forms of chronicity compared to those in more privileged areas. It identifies four kinds of chronicity in the families’ lived experiences: symptom-related, procedural, follow-up, and emotions-related