The metabolic and circadian signatures of gestational diabetes in the postpartum period characterised using multiple wearable devices.

Aims/hypothesis: Gestational diabetes mellitus (GDM) affects 14% of all pregnancies worldwide and is associated with cardiometabolic risk. We aimed to exploit high-resolution wearable device time-series data to create a fine-grained physiological characterisation of the postpartum GDM state in free-living conditions, including clinical variables, daily glucose dynamics, food and drink consumption, physical activity, sleep patterns and heart rate.

Methods: In a prospective observational study, we employed continuous glucose monitors (CGMs), a smartphone food diary, triaxial accelerometers and heart rate and heart rate variability monitors over a 2 week period to compare women who had GDM in the previous pregnancy (GDM group) and women who had a pregnancy with normal glucose metabolism (non-GDM group) at 1-2 months after delivery (baseline) and 6 months later (follow-up).

Young adults' change talk within brief motivational intervention in the emergency department and booster sessions is associated with a decrease in heavy drinking over 1 year.

Objective: Investigate the effect of change talk (CT) within successive brief motivational interventions (BMIs) as a mechanism of change for alcohol use.

Method: We conducted a secondary analysis of data from a randomized controlled trial in which 344 young adults (18-35 years old) admitted to a Swiss emergency department with alcohol intoxication received either BMI ( = 171) or brief advice ( = 173). Participants with a baseline audio-recorded BMI were included ( = 140; median age 23 [1-3: 20-27], 72.

Who benefits from brief motivational intervention among young adults presenting to the emergency department with alcohol intoxication: A latent-class moderation analysis.

Background: Research has not identified which patients optimally benefit from brief Motivational Interviewing (bMI) for heavy drinking when delivered to young adults in the Emergency Department (ED).

Methods: We conducted secondary analyses of data from a randomized controlled trial in which 344 young adults (18-35 years) presenting to the ED with alcohol intoxication received either bMI or Brief Advice (BA, control group). We used Latent Class Analysis to derive participants' profiles from baseline characteristics (i.

Incidence of Refeeding Syndrome in Critically Ill Children With Nutritional Support.

Introduction: Early enteral nutrition is recommended for critically ill children, potentially exposing those who are undernourished to the risk of refeeding syndrome. However, data on its incidence is lacking, and the heterogeneity of diagnostic criteria and frequent electrolyte disorders in this population make its diagnosis complex. In 2020, the American Society for Parenteral and Enteral Nutrition (ASPEN) developed consensus recommendations for identifying patients at risk and with refeeding syndrome.

New tools for modelling water quality of hydrosystems: an application in the Seine River basin in the frame of the Water Framework Directive.

The implementation of the European Water Framework Directive requires new tools for predicting the effect of expected measures taken in the watershed on water quality at the scale of large regional river systems. In the Seine basin, four models, developed in a research context, have been chained to each other to simulate water quality and biogeochemical functioning of the hydrosystem from headwater streams to the coastal marine area. All four models are based on a similar deterministic approach and share a common description of the biogeochemical processes, allowing them to exchange information.

Modelling the impacts of Combined Sewer Overflows on the river Seine water quality.

To achieve the objectives of the European Water Framework Directive (EWFD), the Seine basin Water Authority has constructed a number of prospective scenarios forecasting the impact of planned investments in water quality. Paris and its suburbs were given special attention because of their impact on the river Seine. Paris sewer system and overflow control is of major concern in future management plans.