Diagnostic labels used by health professionals for patellofemoral pain: A cross-sectional online survey.

Geriatric oncology in 2040: Exploring potential realities and challenges. A diverse perspective.

Healthcare workers' perspectives on evidence-based infection control in South Korean nursing homes: A qualitative study.

Vaccine hesitancy (VH) remains a global threat, exacerbated by socio-political uncertainty. We aimed primarily to estimate VH prevalence in Italy, identifying the most susceptible subgroups, and secondarily to assess whether these patterns varied across VH dimensions. Cross-sectional survey (web/telephone) among adults in Italy (September 2024-March 2025). The sample (n = 52,094) was nationally representative by age, gender, education, area, municipality size. The primary outcome was VH (score ≥25, adult Vaccine Hesitancy Scale, aVHS). The secondary outcomes were aVHS subscales "Lack of trust" and "Risk perception". Post-stratification weighting for age, area, and municipality size was applied. VH prevalence was 46.09% (95% CI: 45.65-46.53%). Multivariable models showed several associations with VH, e.g., gender, sexual orientation, ethnicity, health literacy, political and religious orientation, personal experiences, and vaccination support from community figures. Among many subgroups significant after multiple-comparison correction, the strongest differences in VH predicted probability (PP) were estimated among individuals using complementary/alternative medicine (PP = 58.5%), right-aligned (PP = 47.0%) or politically unaffiliated participants (PP = 48.4%), individuals with middle school education (PP = 48.3%), people aged 60-74 (PP = 49.0%), and participants uncertain about healthcare workers' pro-vaccination support (PP = 52.8%). While some groups, e.g., individuals with chronic conditions, inadequate health literacy, or religious participants reported higher perceived risk, others, e.g., non-binary respondents, showed higher lack of trust. This study highlighted the importance of granular data to inform inclusive strategies. Key figures and politics emerged as relevant, deserving further exploration. Future research should evaluate tailored interventions for identified at-risk groups. NextGenerationEU funding within the Italian Ministry of University and Research PNRR Extended Partnership initiative on Emerging Infectious Diseases.

"Moving through Uncertain Pathways": Health Professionals' perspectives on novel technologies for continuing care in high-risk pregnancy using the technology acceptance model.

Promotion of physical activity (PA) in individuals with rheumatic and musculoskeletal diseases (RMDs) is essential for disease management, yet evidence on social, environmental, and system-level determinants remains limited. This study aimed to quantify the prevalence of these determinants and compare them across four European nations. A cross-country survey was developed based on a scoping review and semi-structured stakeholder interviews. The survey comprised 27 items across social, environmental, and system domains. Participants rated each item as a facilitator, barrier, or neutral, using a scale from - 10 (barrier) to + 10 (facilitator). Responses were analyzed to assess cross-country differences in demographic characteristics, PA behavior, and determinant ratings. A total of 734 individuals with RMDs participated (41.1% RA, 40.7% axSpA, and 18.1% OA) from France (30.5%), Switzerland (34.4%), the Netherlands (17.3%), and Turkey (17.7%). Significant between-country differences were identified in PA behaviors and demographics (p < 0.05). Overall determinant scores did not differ significantly (p = 0.101). Key facilitators varied across countries: "knowledge and fitness to perform exercises" was prominent in Switzerland; "scheduled exercises" in the Netherlands and France; and "health professionals" in France and Turkey. Common barriers included "weather conditions"-particularly in Turkey and the Netherlands-"costs of memberships or sport facilities," especially in France, and work-related duties in Turkey and the Netherlands. Despite comparable overall scores, the relevance of social, environmental, and system-level determinants of PA varied across countries These findings highlight the importance of country-specific contextual factors for understanding PA participation and for designing tailored, effective PA promotion strategies in people with RMDs. Key Points • This study provides novel cross-country insights by comparing contextual determinants across four European countries on how cultural norms and environmental infrastructures shape PA behavior in people with RMDs. • Context tailored promotion strategies may be crucial to increase adherence to PA recommendations and to make the implementation of policies more effective.

Infant readmissions within the first 28 days of life have risen significantly over the past decade. Postnatal care is often described as under-resourced, with many women reporting a lack of sufficient support after birth. To explore parents' experiences in the lead-up to infant readmission within the first four weeks of life. Twenty-eight parents of 18 infants unexpectedly admitted to a large urban paediatric referral hospital in England within four weeks of birth were interviewed face to face. Data were analysed using thematic analysis. Parents valued being united in their role as protectors. Mothers struggling with breastfeeding often felt intense responsibility, being their baby's sole source of nutrition. When concerns arose, some parents were unsure who to contact. Seeking advice from family sometimes delayed professional help. Others felt dismissed by health professionals offering false reassurance. Many were comforted upon arriving at the hospital and receiving a diagnosis, which validated their concerns and reinforced their protective instincts. This study highlights parents' need to be together post-birth, their decision-making when their baby became unwell, and their interactions with health professionals during readmission. Services should support shared caregiving early on by improving partner access to postnatal wards and enhancing community support for families returning home. The care pathway for unwell infants is often unclear and should be made more accessible to avoid unnecessary emergency visits. Health professionals must prioritise women's emotional wellbeing, especially during breastfeeding challenges, and respond seriously to parental concerns with clear escalation routes.

Puberty is a transitional period presenting challenges for autistic adolescents, adolescents with disabilities and their families. There are opportunities for occupational therapy to provide support to this cohort as adolescents navigate the complexity of puberty transition. However, there is a lack of published evidence and knowledge translation to guide practice. It is important to scope the literature to gain understanding of the pubertal experiences of autistic adolescents, adolescents with a disability, their families and services accessed for support. The aim of this scoping review was to determine the current role and practice of health professionals supporting autistic adolescents and/or adolescents with disability and their families through puberty, to inform occupational therapy practice. A scoping review was conducted following JBI protocols. Four databases were searched systematically. Key search terms included health professions, terminology for the stages and process of puberty, and neurodevelopmental disorders and disabilities. Eligible articles included literature published within the last 20 years, focused on the experience or recollection of people with disabilities undergoing puberty and experience of parents, caregivers or health professionals who support them. There was no direct consumer or community involvement within this scoping review. After screening 795 articles, 90 full texts were reviewed, and 17 were retained. Studies included a range of health professions, with two studies focused solely on occupational therapy. Themes identified included (1) challenges experienced by adolescents; (2) parental concerns and caregiver burden; (3) the importance of education for clients, caregivers and families; and (4) perspectives and practice of health professionals. Autistic adolescents and people with disability experience additional challenges during puberty and require additional support needs. There is a lack of literature focusing specifically on the role of occupational therapy in this field. Evidence from health services can more broadly inform and guide future direction for occupational therapy practice. There is a need for puberty-focused training for allied health professionals and an opportunity for occupational therapy to position itself at the forefront of evidence-based, family-and-client-centred practice in puberty-related care.

Human papillomavirus vaccine uptake among adolescent girls living with HIV in Côte d'Ivoire: A national cross-sectional survey.

Cultural diversity is a broad term used to encompass ethnic and racial diversity, multiculturalism, diverse languages, religions, practices, beliefs and identities of people. In ICU, people who are culturally diverse are at increased risk of marginalisation, sub-optimal care, higher morbidity and mortality. Ethnocultural biases and stereotypical assumptions can negatively influence ICU care. To explore the experiences of nurses, physicians and allied health professionals (clinicians) in caring for patients and their family members from culturally diverse backgrounds. Ethical approval was granted for an exploratory descriptive study. Convenience sampling was used to recruit clinicians involved in patient care, from two ICUs in Australia. Semi-structured individual interviews were undertaken to gather data, with interviews audio recorded and auto-transcribed. Data were analysed using inductive content analysis. Twenty clinicians participated, with interviews lasting 26min (mean). Analysis revealed four main themes: (i) Cultural sensitivity and responsiveness, which describes the importance of cultural sensitivity and responsiveness in care; (ii) Complexities of communication, which includes descriptions of strategies to overcome communication barriers; (iii) At the end of life, which describes end-of-life care challenges, particularly in the context of brain death and organ donation; and (iv) The way forward, offering suggestions for optimising care for patients and family members who were culturally diverse. Cultural diversity complicates patient and family care and communication in the ICU. These findings emphasise the importance of clinicians' sensitivity and openness to difference, and that it is clinicians' responsibility to overcome cultural and linguistic differences, not the critically ill patient or their family. Achieving greater openness and awareness requires ICU and healthcare leaders to promote the use of professional interpreters to their full scope of expertise, development of culturally-specific resources and creation of a wider community network of cultural representatives to bridge cultural gaps.

Background: Seroprevalence studies are vital for understanding SARS-CoV-2 spread and vac-cination impact. In Morocco, data on antibody prevalence among outpatients and healthcare workers (HCWs) were limited before this study. Objective: The study aims to evaluate anti-SARS-CoV-2 antibody prevalence among outpatients and HCWs in Morocco over three years, before and after the national COVID-19 vaccination campaign. Methodology: Three cross-sectional surveys were conducted from December 2020 to July 2023. Blood samples from randomly selected outpatients and HCWs were tested for anti-SARS-CoV-2 antibodies using the Architect platform. Demographic and occupational data were collected. Results: The surveys included 231,283 participants (227,569 conclusive results). The first survey (40,925 outpatients) showed a seroprevalence of 0.12%. The second survey (110,699 participants: 91,977 outpatients, 18,722 HCWs) reported 24.7% seroprevalence and the third survey (79,659 participants: 72,929 outpatients, 6,730 HCWs) indicated a seroprevalence of 96.8%. Multivariate analysis of the third survey showed vaccination strongly correlated with antibody prevalence, with odds ratios of 65.5 (one dose), 416.9 (two doses), and 890.9 (three doses) compared to unvaccinated individuals. Conclusion: Anti-SARS-CoV-2 antibody prevalence in Morocco increased significantly from 0.12% to 96.8% over three years, driven by widespread infection and the effective national vaccination program.

Implementing meaningful activity facilitators to prevent hospital-acquired complications in French geriatric short-stay wards: A qualitative analysis of the context and stakeholder representations.

To map the current literature on interventions designed to enhance Family Centred Care (FCC) in Neonatal Intensive Care Units (NICUs) and identify gaps in the existing literature. Following Arksey and O'Malley's scoping review framework, a comprehensive search was conducted on November 10th, 2023, and updated on the 20th May 2025. Four databases were searched: Medline via OVID, CINAHL via EBSCO-Host, OVID Embase and PROQUEST. Studies were included if they described interventions targeting FCC in NICUs. Two reviewers independently conducted the screening at both phases with conflicts resolved by a third reviewer. The review identified 31 studies outlining 26 interventions, categorised into four categories: Family centred care bundles; Educational interventions; Communication interventions; and Environmental interventions. Study participants included mothers, fathers, families, and healthcare workers, often restricted to specific languages and cultures. Most outcome measures predominantly reflected the perspectives of mothers and nurses. Many interventions were associated with improvement in family engagement and satisfaction. However, evidence was limited on long-term neonatal and parental outcomes and sustainability of the FCC practices. While some interventions, such as Family Integrated Care (FiCare) and The Close Collaboration Program, have been extensively studied, others have been examined only to a limited extent. This review investigated interventions to enhance FCC in the NICU. The findings highlighted a range of interventions designed to improve family experiences and neonatal outcomes. This review underscores the need for standardised implementation studies on FCC interventions in NICUs. While numerous interventions successfully increased parental involvement and positively influenced staff perspectives, their effectiveness often hinges on the implementation strategies employed, as well as the support from institutions and healthcare providers. Understanding FCC interventions implemented worldwide will broaden the application of FCC within the NICU. Further investigation into these interventions across various NICUs is necessary, involving diverse family members and healthcare professionals in assessing outcomes.

Prison needle exchange programs (PNEPs) reduce bloodborne virus transmission among people who inject drugs, yet global implementation remains limited. Canada introduced PNEPs in 2018, but uptake is low, and barriers to implementation persist. While perspectives of correctional officers, healthcare workers, and incarcerated individuals have been examined, little is known about how prison leadership shapes program delivery. Drawing on interviews informed by the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, we sought to identify the organisational, system, and structural/policy-level barriers to PNEP implementation from the perspectives of prison administrators. Between January and March 2025, 27 prison leaders from custodial and medical services from nine Canadian federal prisons with operational PNEPs participated in semi-structured interviews. Data were thematically analysed using the EPIS framework. Implementation was shaped by structural tensions between harm reduction goals and "zero tolerance" custodial mandates. Outer context factors, especially union resistance, lack of policy clarity, and federal directives, created misalignment and ambiguity in program ownership. Prison climate, staff turnover, and leadership engagement influenced shifts in attitudes toward PNEPs over time. Healthcare personnel, though central to delivery, were often tasked with communicating custodial decisions, undermining trust. Intervention fit was shaped by security classification and perceived drug use patterns, with PNEPs viewed as ill-suited for minimum-security settings. Sites that streamlined approval processes and designated leadership roles were better positioned to support program uptake. Time, experiential exposure, and tailored education were key facilitators of cultural change and implementation readiness. Addressing outer context barriers and clarifying responsibilities between health and corrections are critical to PNEP sustainability. Leadership engagement is essential to enabling system-wide adoption.

Designing, developing and applying an instructional framework for a neonatal resuscitation program: Action research.

Background: The COVID-19 pandemic has significantly impacted global healthcare systems, placing healthcare workers (HCWs) at heightened risk of SARS-CoV-2 exposure due to their frontline roles. Objective: The purpose of this study is to assess and compare IgG antibody prevalence against SARS-CoV-2 among healthcare workers (HCWs) and the general population (GP) in Morocco from 2020 to 2023. It investigates seroprevalence trends across pre- and post-vaccination phases to deepen understanding of immune responses and inform evidence-based public health strategies. Methodology: A prospective cohort study spanned 2020–2023 across twelve Moroccan regions, assessing IgG antibody prevalence. Serological testing was conducted pre- and post-vaccination, with adjusted seroprevalence rates calculated to account for demographic and clinical factors. Results: A nationwide seroprevalence study was conducted with 190,358 participants, including 25,452 healthcare workers (HCWs) and 164,906 general population (GP) individuals. In the pre-vaccination phase, serological testing of 110,699 participants identified 24,770 seropositive, 82,466 seronegative, and 3,463 inconclusive cases, resulting in an adjusted seroprevalence of 24.7% (95% CI: [24,4%;25%]). HCWs demonstrated a significantly higher seroprevalence (30.8%; CI: [30,5%;31,1%]) compared to the GP (22.7%;95% CI:[22,4%;23,0%]), with an odds ratio of 1.28 (95% CI: [1,23;1,33], p<0.05), indicating elevated occupational exposure risk. Post-vaccination testing of 79,659 participants revealed an overall seroprevalence of 96.8% (95%CI: [96,7%;96,9%]), with 97.8% (95% CI [97,7%;97,9%]) for HCWs and 96.7% (95% CI [96,7%;96,9%]) for the GP. Multivariable analysis indicated that HCW status did not significantly influence seropositivity after vaccination (p>0.05). It highlighted vaccination status, prior SARS-CoV-2 infection, and age as the key determinants of seropositivity in the post-vaccination period. Conclusions: Before vaccination, healthcare workers (HCWs) showed a significantly higher IgG seroprevalence compared to the general population (GP), indicating greater occupational exposure. After vaccination, nearly universal seroprevalence in both groups underscores the success of the vaccination campaign in establishing widespread immunity.

The dose-response relationship between work hours and mental health in healthcare workers: a cross-sectional study in a Chinese medical consortium

Antimicrobial Resistance Surveillance and Risk Factors Among Healthcare Workers in Mekkah: A Comprehensive Analysis of MRSA, ESBL, and MDR Patterns

Educational value of YouTube videos on exercise during pregnancy: A cross-sectional analysis.

Exploring the drivers of substance use in Zambia: A qualitative study of stakeholder perspectives.