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BACKGROUND: We recently compared the effects of bedside and outside the room ward rounds on patients’ knowledge about their medical care. Here, we report preferences of medical and nursing staff members regarding outside versus bedside ward rounds. METHODS: Within this ancillary project of a large multicentre randomised controlled trial, we prospectively conducted a survey of medical and nursing staff members participating in the weekly consultant ward rounds in the internal medicine division of three Swiss teaching hospitals between July 2017 and October 2019. Participants were asked about their preferences on outside versus bedside ward rounds. The primary endpoint was satisfaction of healthcare workers with the ward round measured with a visual analogue scale from 0 to 100. RESULTS: Between July 2017 and October 2019, 919 patients were included in the trial, and we received 891 survey responses (nurses 15.6%, residents 26.8%, attending physicians 29.6%, consultants 7.8% and chief physicians 20.2%. In the overall analysis, mean (± standard deviation) satisfaction of healthcare workers was higher with outside the room than bedside ward rounds (78.03 ± 16.96 versus 68.25 ± 21.10 respectively; age-, gender- and centre-adjusted difference of –10.46, 95% confidence interval [CI] –12.73 to –8.19; p

The demand for terrestrial snails as a food source is still on the increase globally, yet this has been overlooked in disease epidemiology and the spread of antimicrobial resistance. This study conducted genomic analyses of twenty Citrobacter portucalensis strains isolated from live edible snails traded in two hubs. The isolates were subjected to MALDI-TOF MS, antimicrobial resistance testing, whole genome sequencing, and analyses for in-depth characterization. The findings disclosed that seventeen strains across the two trading hubs were distinct from previously reported ones. Four isolates were found to share the same sequence type (ST881). Genome-based comparison suggests a clonal transmission of strains between snails traded in these hubs. All the isolates across the two hubs harbored similar variety of antimicrobial resistance genes, with notable ones being blaCMY and qnrB. Sixteen isolates (80%) expressed phenotypic resistance to second-generation cephalosporins, while eleven isolates (55%) exhibited resistance to third-generation cephalosporins. This report of multi-drug-resistant C. portucalensis strains in edible snails highlights significant concerns for food safety and clinical health because of the potential transmission to humans. Enhanced surveillance and stringent monitoring by health authorities are essential to evaluate the impact of these strains on the burden of antimicrobial resistance and to address the associated risk. [ABSTRACT FROM AUTHOR]

BackgroundSince humans are social animals, social relations are incredibly important. However, in cases of contagious diseases such as the flu, social contacts also pose a health risk. According to prominent health behavior change theories, perceiving a risk for one’s health motivates precautionary behaviors. The “behavioral immune system” approach suggests that social distancing might be triggered as a precautionary, evolutionarily learned behavior to prevent transmitting contagious diseases through social contact. This study examines the link between personal risk perception for an infectious disease and precautionary behavior for disease-prevention in the context of social relationships.MethodsAt 2-week intervals during the first semester, 100 Psychology freshmen indicated their flu risk perception, whether they had been ill during the previous week, and their friendships within their freshmen network for eight time points.ResultsSocial network analysis revealed that participants who reported a high flu risk perception listed fewer friends (B = −0.10, OR = 0.91, p = 0.026), and were more likely to be ill at the next measuring point (B = 0.26, OR = 1.30, p = 0.005). Incoming friendship nominations increased the likelihood of illness (B = 0.14, OR = 1.15, p = 0.008), while the reduced number of friendship nominations only marginally decreased this likelihood (B = −0.07, OR = 0.93, p = 0.052).ConclusionIn accordance with the concept of a “behavioral immune system,” participants with high flu risk perception displayed a social precautionary distancing even when in an environment, in which the behavior was ineffective to prevent an illness.

The applicability of sensor-based human activity recognition in sports has been repeatedly shown for laboratory settings. However, the transferability to real-world scenarios cannot be granted due to limitations on data and evaluation methods. On the example of football shot and pass detection against a null class we explore the influence of those factors for real-world event classification in field sports. For this purpose we compare the performance of an established Support Vector Machine (SVM) for laboratory settings from literature to the performance in three evaluation scenarios gradually evolving from laboratory settings to real-world scenarios. In addition, three different types of neural networks, namely a convolutional neural net (CNN), a long short term memory net (LSTM) and a convolutional LSTM (convLSTM) are compared. Results indicate that the SVM is not able to reliably solve the investigated three-class problem. In contrast, all deep learning models reach high classification scores showing the general feasibility of event detection in real-world sports scenarios using deep learning. The maximum performance with a weighted f1-score of 0.93 was reported by the CNN. The study provides valuable insights for sports assessment under practically relevant conditions. In particular, it shows that (1) the discriminative power of established features needs to be reevaluated when real-world conditions are assessed, (2) the selection of an appropriate dataset and evaluation method are both required to evaluate real-world applicability and (3) deep learning-based methods yield promising results for real-world HAR in sports despite high variations in the execution of activities.