Aortic Stenosis and Coronary Artery Disease: Decision-Making Between Surgical and Transcatheter Management.

Aortic stenosis (AS) and coronary artery disease (CAD) frequently coexist and share pathophysiological mechanisms. The proportion of patients with AS and CAD requiring revascularization varies widely because of uncertainty about best clinical practices. Although combined surgical aortic valve replacement and coronary artery bypass grafting has been the standard of care, management options in patients with AS and CAD requiring revascularization have expanded with the advent of transcatheter aortic valve replacement (TAVR).

[Exploring the field of psychotherapies and the development of APAP].

Objective The field of psychotherapy is growing and is offering more and more types of treatments. The objective of this paper is to go through many clinical researches and experiences from psychotherapists with several psychotherapies in universities in Montreal and Lausanne, especially in the Institute for Mental Diseases in Montreal (IUSMM). Method Research and clinical evaluations have varied over many years.

[Digital well-being, a technological mental health issue: The smartphone role].

Objectives To introduce the concept of digital well-being and explore the place of digital tools in the service of this well-being. Methods The article is based on a description of the concept of digital well-being, the intervention models currently available and the possibilities for improvement of these models. Findings Over the past decade, smartphone use has become almost ubiquitous in modern society.

Real-World and Clinical Trial Validation of a Deep Learning Radiomic Biomarker for PD-(L)1 Immune Checkpoint Inhibitor Response in Advanced Non-Small Cell Lung Cancer.

Purpose: This study developed and validated a novel deep learning radiomic biomarker to estimate response to immune checkpoint inhibitor (ICI) therapy in advanced non-small cell lung cancer (NSCLC) using real-world data (RWD) and clinical trial data.

Materials And Methods: Retrospective RWD of 1,829 patients with advanced NSCLC treated with PD-(L)1 ICIs were collected from 10 academic and community institutions in the United States and Europe. The RWD included data sets for discovery (Data Set A-Discovery, n = 1,173) and independent test (Data Set B, n = 458).

Assessing the effectiveness of the Pregnancy And Newborn Diagnostic Assessment system on the quality of antenatal care in Burkina Faso: A cluster-randomised controlled trial.

Introduction: The Pregnancy and Newborn Diagnostic Assessment (PANDA) system is a mobile application designed to facilitate diagnosis and decision-making by healthcare staff in antenatal care (ANC). This study aimed to evaluate its effectiveness in improving the quality of ANC.

Methods: This randomised controlled trial implemented the PANDA system in two groups of health facilities (intervention and comparison groups) using a matched-pair method in the Koupéla health district, Burkina Faso.

[Emergency department visits after foot and ankle surgeries].

Foot and ankle surgeries treat a range of conditions, from traumatic injuries to chronic deformities. Despite optimized procedures to minimize risks, postoperative complications can lead to emergency department consultations. This article explores the reasons for these consultations and suggests strategies to reduce them, improving patient care and cutting healthcare costs.

[Clinical nurse specialists: leadership, entrepreneurship and research for healthcare].

Clinical nurse specialists (CNS) are nurses with a Master in Science Nursing degree. CNS key competences include leadership, entrepreneurship and research. Using the Symptom Navi programme as an example, we show the importance of CNSs in developing an innovative project and their leadership role in implementing the programme into practice.

[Advanced nursing practice in Swiss community health. Sharing experiences].

The development of chronic diseases and the aging of the population are increasing the demand for specialized nursing care in both outpatient and inpatient services. In 2019, the Sarine outpatient care service introduced a Clinical Nurse Specialist (CNS) to support the teams and management in systematically analyzing clinical practice. In some nursing homes, the INTERCARE model, developed by Advanced Practice Nurses (APNs), has been implemented.

[Practice of clinical nurse specialists ina hospital setting].

Clinical nurse specialists provide specialized care to individuals with complex health issues, while also supporting healthcare professionals and institutions in delivering evidence-based care. In hospital settings, they work at various levels within the organization: in a ward-based role. in transversal focused on specific issues such as pain management, and in the longitudinal follow-up of patients, ensuring continuity between hospitalization, outpatient care, and home care.

[Nurse practitioner: experience of implementation in primary care].

The growth and continuing evolution of care needs, linked in particular to the aging of the population and the increase in chronic illnesses, have prompted the Canton of Vaud to promote innovative care models and new professional profiles, including recognition of the role of nurse practitioner (NP). Unisanté is actively involved in promoting and integrating this new role, with the support of the canton. A postgraduate training program for primary care NPs is currently being developed, and the opening of an innovative health center has made it possible to establish this role in the primary care medical practice.

[Strengthening primary care in Switzerland: the contribution of nurse practitioners].

Switzerland is facing a growing demand for primary care services. Nurse practitioners (NP) could play a key role in addressing the current challenges in the healthcare system by participating in new models of care. International studies support this approach, showing that nurse practitioners improve access to care, reduce costs, and increase patient satisfaction.

[The role of nurse practitioner at the University hospital of Lausanne].

It is recognized that integrating the role of nurse practitioners (NPs) into new care models can positively impact patient outcomes and the healthcare system. The Canton of Vaud is currently in the initial phase of developing this role. The University Hospital of Lausanne currently employs 15 NPs across various clinical departments, and several initiatives to further develop NP roles are in progress.

[Legal framework for nurse practitioners in the Canton of Vaud].

Nurse practitioners (NPs) have existed internationally for several decades, with scientific literature demonstrating improved access to care, patient safety, and well-being. To address the sociodemographic challenges of public health and the shortage of healthcare professionals, the Canton of Vaud was the first in Switzerland to develop a legal framework that defines the responsibilities and requirements of the NP role in order to integrate them into the healthcare system. The integration of NPs into the hospital setting has shown promising results.

[A case of post-traumatic paracentral acute middle maculopathy associated with glaucoma].

Paracentral acute middle maculopathy is a lesion of the inner nuclear layer and outer plexiform layer of the macula associated with local or systemic vascular diseases that can induce retinal hypoxia. The etiologic mechanism may be related to the increase in intraocular pressure which creates conditions of hypoperfusion in the retinal vasculature. We present a case that shows a possible association between paracentral acute middle maculopathy and glaucoma with the trauma of elevated intraocular pressure as a triggering event.