Hôpital Beau-Séjour

ObjectiveTo assess health information needs, preferred information sources, and willingness to engage in health promotion among older adolescents (15–19 years) in Geneva, Switzerland.MethodsData were collected from 950 adolescents (aged 15–19 years) between October and November 2023 in Geneva, using a classroom-based online survey.ResultsAdolescents expressed interest across a wide range of health topics, with Sleep receiving the highest average score. Girls expressed greater information needs in areas such as mental health, diet and self-perception, and interest generally increased with age. No significant differences were observed between public and private school students. Family remained the preferred source for diet, self-perception and safety/risk-taking, whereas social media was most used for environment, self-perception and social life. Overall, 32.6% of participants reported high readiness (scores 7–10) to engage in health promotion activities.ConclusionsOne-third of adolescents indicated strong willingness to participate in health promotion, highlighting an opportunity to involve them directly in public health initiatives. Parents remained key and trusted sources of information, underscoring the need to support them with accurate knowledge and communication tools. Strengthening educational and communication strategies, particularly within primary care and school health services, can enhance adolescents' access to reliable information, support informed decision-making, and improve overall well-being.

Upper limb injuries are common and account for a significant number of emergency department and primary care consultations. While surgery for these injuries is well-documented, nonoperative treatments, particularly the optimal duration of immobilization, remain understudied. These durations are often based on institutional dogma rather than scientific evidence, which have gone unchallenged for years. However, prolonged immobilization can lead to increased morbidity or even complications for patients. The aim of this systematic literature review is to update the recommendations regarding optimal immobilization durations for the most common shoulder and elbow injuries, in order to provide guidelines for primary care and emergency medicine.

Background/Objectives: Older adults with neurocognitive and psychological disorders are often institutionalized in nursing homes, which negatively affects well-being and mood, and may accelerate cognitive decline. Immersive virtual reality (VR) is a promising non-pharmacological countermeasure, but VR-headset discomfort limits its usability in this population. Therefore, this study examined the tolerability and feasibility of an immersive VR room, which provides customizable interactive environments projected across four walls at 360° and enables shared experiences, to enhance positive affect and engagement in nursing home residents. Methods: Twenty nursing home residents were initially enrolled, and nineteen completed five 10 min sessions in the immersive VR room accompanied by a caregiver. State positive and negative effects were assessed using the visual analogue scale (VAS) and the Observed Emotion Rating Scale (OERS), and participants' verbal feedback was collected during and after the sessions. Results: VAS scores indicated that VR room immersion was feasible and well-tolerated, with most participants feeling secure and experiencing increased positive affect during and just after the sessions. OERS scores and observations revealed frequent expressions of pleasure, interest, and active engagement with both the VR environments and the caregiver. Participants' reports valued the enjoyable and relaxing experience provided by immersion in the VR room, noting the realism and aesthetics of the environments and nature-related elements, which allowed them to travel virtually and evoke personal memories. Conclusions: Immersive VR room sessions were well tolerated, enhanced positive affect, and may support cognitive functioning by fostering active engagement and social interaction. Given that this is a feasibility study with a small cohort and short follow-up, the present findings should be considered preliminary and confirmed in larger, controlled, longer-term studies.

Osteoarthritis of the trapeziometacarpal joint (TMCJ) is a common cause of pain and functional impairment. Accurate preoperative assessment and postoperative follow-up are essential to optimize surgical outcomes. This review examines the role and comparative advantages of different imaging modalities - radiography, ultrasound, cone-beam computed tomography/computed tomography (CBCT/CT), and magnetic resonance imaging (MRI) - in the preoperative evaluation and postoperative monitoring of TMC osteoarthritis and related surgical procedures, including arthroplasty, ligament reconstruction, and arthrodesis. This narrative review is based on institutional experience, current literature, and clinical workflow applied to pre- and postoperative imaging of the TMCJ. It emphasizes the indications, limitations, and specific applications of each imaging modality. Standard radiographs remain the first-line imaging tool for diagnosis and surgical planning. Ultrasound is particularly useful for early, infra-radiographic lesions, dynamic assessment, and soft-tissue evaluation. CBCT/CT provides high-resolution 3D imaging of osseous structures, especially for preoperative planning and postoperative assessment of fusion or implant positioning. MRI offers detailed evaluation of cartilage, ligaments, tendons, and synovial structures, with limitations in the presence of metallic implants. Dynamic imaging, including 4D-CT, shows promise for analyzing joint kinematics and instability. Postoperative complications such as pseudarthrosis, implant loosening, tendon injury, and secondary arthrosis can be effectively monitored using these modalities. Overall, multimodal imaging is critical for comprehensive management of TMC osteoarthritis; combining radiography, ultrasound, CBCT/CT, and MRI tailored to the clinical scenario enhances diagnostic accuracy, guides surgical planning, and enables effective postoperative monitoring. · Radiographs remain the first-line imaging tool for diagnosis and surgical planning.. · CBCT and CT provide high-resolution 3D evaluation of bony anatomy and implants.. · Ultrasound enables dynamic assessment of ligaments, tendons, and soft tissue complications.. · MRI offers superior soft tissue and cartilage visualization but may be limited by metallic implants.. · Postoperative imaging is essential to detect complications, including pseudarthrosis, malunion, and prosthetic loosening.. · Bouredoucen H. Imaging of Trapeziometacarpal Osteoarthritis: Preoperative Assessment and Postoperative Evaluation. Rofo 2026; 10.1055/a-2808-4634.

Artificial intelligence (AI) is a broad term that covers a wide range of methods depending on the intended application. This field is rapidly evolving and has the potential to transform patient care. Due to the nature of its data, nephrology is particularly well-suited to the development of AI models. However, implementation in clinical practice is still limited. In this article, current and potential applications in everyday medical practice are highlighted. Understanding the methodological basis of these models is crucial and should be part of the training of future physicians. In addition, the quality of the data feeding into the models will determine the quality of the tool. Clinicians will therefore play a major role in the critical interpretation of data.

Rheumatoid arthritis is a systemic autoimmune disease with a multifactorial etiology, resulting from the interaction between genetic susceptibility and environmental factors. These interactions lead to the loss of immune tolerance and the development of autoimmunity directed against citrullinated proteins. The transition to arthritis is accompanied by the maturation of the humoral immune response and the activation of specific T-cell subsets. Early identification of high-risk individuals will enable the development of preventive strategies aimed at altering the disease's natural course.