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The relationship between muscle mass changes and protein or energy intake in critically ill children ::a systematic review and meta‐analysis
No full textSurvivorship after pediatric critical illness is high in developed countries, but many suffer physical morbidities afterwards. The increasing focus on follow-up after critical illness has led to more pediatric studies reporting muscle mass changes (using ultrasound), albeit with different results. A systematic literature review was undertaken examining muscle mass changes, assessed by ultrasound of the quadriceps femoris muscle in children who are critically ill. Secondary objectives were to determine if muscle mass was associated with protein intake and/or energy. Databases were searched in July 2024. Eligible experimental or observational studies, published from January 2010 to July 2024 and including children who are critically ill that were aged between ≥37 weeks' gestational age and 18 years who were admitted to the pediatric critical care unit were included. The Joanna Briggs Institute for observational studies critical appraisal instrument was used to assess studies for methodological quality. One hundred and thirty-five studies were screened, and eight prospective cohort studies were included, involving 411 children. Overall, muscle mass changes reported in seven out of eight of the papers showed a pooled mean muscle mass loss of 8.9% (95% confidence interval [CI] 6.6–11.4) from baseline to days 5–7. Five of the eight publications defined muscular atrophy as a decrease in muscle mass of >10%. Using this cutoff, 92 (49.2%) children developed muscular atrophy during their PICU admission. Overall, muscle mass decreased by nearly 10% during a child's first week in PICU, with almost half of children developing muscular atrophy during their admission
Mehrwert von Advanced Practice Dietitians im interprofessionellen klinischen Behandlungsteam ::eine Schweizer Perspektive
No full textErweiterte Rollen in nicht-ärztlichen Gesundheitsberufen, sogenannte Advanced Practice Rollen, werden als eine Antwort auf die vielfältigen Herausforderungen des Gesundheitssystems angesehen. Fachpersonen in Advanced Practice Rollen können Aufgaben übernehmen, die über ihren klassischen Verantwortungs und Kompetenzbereich hinaus gehen, oftmals z. B. Patientenfälle mit komplexer Behandlungs- oder Versorgungssituation. Sie können dadurch die Versorgungsqualität verbessern, Behandlungsfehler reduzieren, die Ärzteschaft entlasten und die Patientenzufriedenheit und Lebensqualität erhöhen. Unter anderem seit der Einführung von Masterstudiengängen in Ernährung und Diätetik in der Schweiz entstehen auch im Bereich der Ernährungsberatung/-therapie verstärkt erweiterte Rollen, sogenannte Advanced Practice Dietitian (APD) Rollen. An zwei Praxisbeispielen werden APD Rollen im stationären und ambulanten Setting beschrieben und der Mehrwert für das interprofessionelle Behandlungsteam dargelegt. Weitere Anstrengungen und eine systematische Evaluation sind nötig, um neue APD Rollen zu etablieren und damit das volle Potential für das Gesundheitssystem auszuschöpfen.Advanced roles in non-medical healthcare professions, socalled advanced practice roles, are seen as a response to the diverse challenges of the healthcare system. Professionals in advanced practice roles can take on tasks that go beyond their traditional area of responsibility and expertise, often e. g. patient cases with complex treatment or care situations. They can thus improve the quality of care, reduce treatment errors, relieve the burden on the medical profession and increase patient satisfaction and quality of life. Since the introduction of master's degree courses in nutrition and dietetics in Switzerland, among other things, advanced practice dietitian (APD) roles are also increasingly emerging in the field of nutrition therapy. APD roles in inpatient and outpatient settings are described using two practical examples and the added value for the interprofessional treatment team is explained. Further efforts and systematic evaluation are needed to establish new APD roles and thus exploit the full potential for the healthcare system
Hospitality vibes ::the positive energy when people interact with like-minded people
No full textSocietal changes, talent shortages, and technology have created a perfect storm. How can the hospitality industry exit the perfect storm? The hospitality industry can transform itself into the Hospitality Vibes industry and rise from the storm more vigorously than ever. The Hospitality Vibes industry can become part of the social fabric where employees and guests find meaningful connections and recharge energy through joyful interactions. This book builds the roadmap to the Hospitality Vibes industry, where employees and guests have an equal status in the relationship and where employees find meaning and eudaimonia in their work. Please join us on this transformative journey
Teaching and learning in business schools post-pandemic ::a digital future
No full textPurpose : In 2018, a group of higher education institutions (HEIs) in Switzerland started discussing the future of education. With the COVID-19 pandemic, many of their initial ideas and solutions were tested in the unpredictable, emergency online setting. This study aims to use student and faculty member perceptions to outline the future of higher education. Design/methodology/approach : This research is based on eight surveys from students and faculty members at one Swiss HEI in business studies. While many previous studies focus on one group or one moment in time, this study examines the future of business education from both perspectives and traces the responses throughout the pandemic. Findings : Teaching and learning strategies and perceptions evolved during the COVID-19 pandemic. Nonetheless, despite the potential, many HEIs simply reverted to normal instead of adapting to the “new normal”. Conversely, some HEIs have continued using the same exercises and tools that were used in the emergency remote pandemic-mode, without adapting or reflecting on the current learning environment. Based on the findings, both students and faculty members have increased their interest and proficiency in using digital tools although the students remained more open toward the opportunities of digital teaching and learning. Originality/value : Based on the results, this study offers a model for the future of education that HEIs could implement when moving forward, whether on campus or online
Competitive funding and academic-industry collaboration ::policy trends and insights
No full textIn an era of globalized research endeavors, the interplay between government funding programs, funding decisions, and their influence on successful research collaborations and grant application success rates has emerged as a critical focus of inquiry. This study embarks on an in-depth analysis of cross-country funding dynamics over the past three decades, with a specific emphasis on support for academic-industry collaboration versus sole academic or industry funding. Drawing insights from comprehensive datasets and policy trends, our research illuminates the evolving landscape of research funding and collaboration policies. We examine funding by Innosuisse (Swiss Innovation Project Funding) and SBIR (US Small Business Innovation Research), exploring the rates of future grant success for both academic and industry partners. We find strong evidence of rich-get-richer phenomenon in the Innosuisse program for both academic partners and industry partners in terms of winning future grants. For SBIR we find weaker levels of continued funding to the same partners with most attaining at most a few grants. With the increasing prevalence of academic-industry collaborations among both funders, it is worth considering additional efforts to ensure that novel ideas and new individuals and teams are supported
Sustainability transitions in small, entrepreneurial food services through systems innovation
No full textSustainability is essential for the longevity and competitiveness of small businesses in the foodservice sector. This article explores how innovation drives the transformation of business models and practices in small, entrepreneurial foodservice firms, with a focus on independent restaurants. By integrating insights from sustainability transitions theory and sustainability innovation, the study develops a practical framework for operational and business model innovations aimed at enhancing sustainability. The findings provide actionable strategies for practitioners and policy makers to address sustainability challenges, offering guidance on how to implement these innovations effectively within the unique context of small foodservice businesses
Modèles de maturité numérique ::de la mesure à l’action
No full textDans cet article d’opinion, nous synthétisons la recherche sur les modèles de maturité numérique (MMN) en nous concentrant sur leurs finalités et controverses liées à leurs mobilisations par les praticiens. Dans un deuxième temps et en nous appuyant sur des données issues d’un programme de recherche lié sur la transformation numérique des organisations de l’arc jurassien suisse, nous proposons des conseils pratiques pour mobiliser un MMN. Finalement, nous ouvrons des voies futures de collaboration afin de mieux accompagner les organisations dans leur processus de transformation numérique
Minerva and Montblanc ::technical innovation and branding in the Swiss luxury watch industry
No full textThe Minerva brand joined the Montblanc portfolio when the Richemont Group bought it in the fall of 2006. In the integration process, it had to retain its authenticity, know-how, and appeal to watch collectors worldwide. As part of Montblanc, Minerva operated within constraints that limited its ability to explore new audience-expansion avenues among luxury watch enthusiasts. The Richemont Holding prioritized Montblanc’s less expensive watches in its digital communication budget, forcing Minerva to find creative ways to reach customers. However, these limitations did not hinder its progress; Minerva’s commitment to nurturing close client relationships was instrumental in shaping its distinctive identity. From 2021, when Laurent Lecamp joined the group as global managing director of the Montblanc Watch Division, Minerva experienced notable growth. Yet, the question remained: Could Minerva maintain its hallmark of personalized service as it continued to evolve in the competitive luxury watch market? Or would its growth dilute its personalized touch, jeopardizing the very essence that had propelled its recent success
Bcomp ::guiding sustainable products through an entrepreneurial storm
No full textThe case documents the entrepreneurial journey of Bcomp, a Swiss high-tech firm specializing in high-performance, lightweight, sustainable solutions for the mobility and sports industries. Founded in 2011, the company had 68 employees by June 2023 and was well-positioned for further growth. CEO and co-founder Christian Fischer had been instrumental in realizing the firm’s vision. Bcomp first entered the sports and leisure market, where it launched two product lines within five years: bCores™ ski cores and ampliTex™ high-performance reinforcement fabrics. The firm quickly consolidated its image as a leading supplier of innovative, high-performance, lightweight solutions, and its success in the winter sports industry facilitated its market entry in other sectors, such as surf sports boards, musical instruments, and luxury watches. Based on this proof of concept, Bcomp had prepared its next strategic move: entering the motorsports market and using it as a steppingstone to large-scale, highly complex mobility markets. Over the next three years, significant resources were invested in the development of products such as its proprietary powerRibs™ technology, studying market needs, defining its go-to-market strategy, and generating leads. This led to the acquisition of high-profile customers such as Porsche Motorsport, Aston Martin Racing, and Audi Sport and the development of projects with several global automotive OEMs and a long-term collaboration with a global leader in the aerospace maintenance, repair, and overhaul (MRO) industry
Fallbeispiel ::Bewegungskontrollstörung der Halswirbelsäule
No full textEine Patientin stellt sich mit Nackenschmerzen in der Physiotherapie vor. Die Schlüsselfaktoren aus subjektivem und physischem Befund deuten auf ein Bewegungskontrolldefizit hin. Eine schlüssige und für die Patientin logische Erklärung ihres Problems und die unmittelbare Wirksamkeit der Übungen sind ausschlaggebend für den Erfolg der Therapie