« Docteur,pourrais-je avoir une copie du certificat ? » Étude pluricentrique concernant l’application des décrets du 31 mars 2021 et du 23 novembre 2021

On 31 March 2021, a decree was published in the Official Journal concerning the procedures for the delivery of medical certificates to victims of violence. These victims can now obtain a copy of the certificate drafted by the doctor required by the judicial authorities, particularly as regards medical examiners.PurposeThe aim of our study was to assess the impact of the March 31, 2021 decree on victims’ requests to the medical examiner for a copy of the medical certificate.MethodsThis prospective study was conducted among three forensic services receiving victims in consultation, using a paper questionnaire linked to Medlé data, over a three-month period.ResultsOf the 1,492 consultations conducted during the study period, a copy of the certificate was only given to the victim in 13.1 % of the consultations. It was requested spontaneously by the victim in 15.2 % of cases, most often to exercise his right (46.4 %). These were primarily consultations following an accident, psychological abuse, and assault. This copy was requested spontaneously by less than 3 % of victims of domestic violence. There was some disparity between the three centres regarding the minor victim.ConclusionThis study is a small sample over a short period. The information of the victims, especially of domestic violence, on access to the copy of the medical-legal certificate seems still insufficient, and the principle of surrender, when it can help the victim in his efforts, can also be a source of confusion.     

Implantologie orale et responsabilité : à propos du choix du dispositif implantaire

Dental implants are medical devices designed to create stable, strong, non-iatrogenic and durable anchors in the maxilla or mandible to which a removable or fixed dental prothesis fits, to replace one or more missing teeth. From the 1970s to 2000, these medical devices experienced changes in shape and materials before a consensus was reached on a type of implant that responded to the standard of care. This raises the question of the medical liability of healthcare professionals who use different implant systems in their practices. The present article proposes to highlight the choice of the dental implant by dental practitioner, its design and the materials used, on the field of the medical liability, through a retrospective study of judicial decisions in France. The “Brånemark-type” endosseous cylindrical-conical screw implant is considered as standard of care in France. The dental surgeon has the possibility to use other types of dental implants when the clinical situation strictly contraindicates the use of cylindrical-conical screw implants. In case of litigation, he must be able to justify his choices.     

Le bonheur de vieillir : une approche « positive » du vieillissement

The positive psychology movement promotes a better quality of life and subjective well being for all people of every age. The supporters of this approach acknowledge the problems associated with aging, but emphasize the possibility of personal development and happiness in the third and fourth ages. From the numerous suggestions proposed by researchers, we recommend three methods, the efficiency of which is demonstrated by empirical results: the use of our signature strengths, the pursuit of our significant goals and the experiencing of flow (optimal experience). These activities certainly contribute to the happiness of aging.     

Impact du 3e confinement lié à la Covid19 sur les émotions des Français : exploration textuelle de 481 601 flux Twitter

ObjectiveThis work proposes the investigation of the immediate emotional repercussions of the announcements of the third containment in France. In order to respond to this objective, we are interested in the emotional reactions as they were communicated via the social network Twitter between March 11, 2021 and April 08, 2021.MethodAmong the tweets, 481,601 were retrieved via the rtweet library of R software. An automated emotional lexicon analysis was conducted. The data were processed according to two approaches: (i) one cross-sectionally and (ii) the other one considering longitudinally the dynamic aspect of emotions by studying the content of tweets, day after day.ResultsThe impact of the containment announcements is not trivial. If positive emotions can be observed, the impact remains mostly negative and global. Over the whole period considered, the dominant feeling was one of discomfort. It is illustrated by an experience of loneliness, feelings of tension, suffering and/or frustration. Depression and suffering are also predominant in all the tweets. The temporal analyses show that the nature and diversity of emotions vary according to the date on which the tweets were published. The reconfinement announcements are thus mainly associated with hatred but appear to be only transient.DiscussionThe results are discussed with respect to the adaptive functions of emotions.ConclusionThe analysis of the messages posted on social networks brings us information for a real-time understanding of the emotional reactions related to reconfinement announcements. In addition to examining the type of emotions mobilized, a dynamic reading of them will help to bring out the personal meaning that the confinement may have had.     

Le déclenchement « sans indication médicale » : regard étonné du juriste

Delivery trigger may question obstetrician liability.     

La rotation alternante en 3 × 8 et ses effets sur le processus d'inhibition

This experiment is based on the negative priming paradigm by using a Stroop like material (Dalrymple-Alford et Budayr, 1966) to study an inhibitory functional deficit in 3 × 8 alternating shiftworkers. The results revealed a deficit in the inhibitory mechanism when 3 × 8 and 2 × 8 ex 3 × 8 alternating shiftworkers were compared with 2 × 8 alternating shiftworkers. These results make necessary to develop further studies on the effects of the 3 × 8 alternating shiftwork on the information processing system, that focus on attentional processes.     

Le « dispositif de gestion » : un cadre méthodologique pour l’analyse psychosociale du « Patient-centered care » dans un hôpital parisien

This article explores the implementation of Patient-Centered Care approaches that have been spreading since the 2000s in French hospitals. Questioning their acceptance, the authors mobilize the framework of analysis of the management dispositive, applied to the orthopedic department of a Parisian hospital (3 weeks of observations and 43 interviews). They identify the socio-material resources mobilized (spaces, instruments and language) and their arrangement under the influence of an ideology. The article underlines the hybrid and situated nature of the arrangements as well as the reciprocal influences between the resources of the arrangement. The article thus extends the reflection on situated acceptance, showing that the dispositive studied is not fixed, but is the result of a collective activity, both mediated and subject to retroactions.     

Child proportional scaling: Is 1/3 = 2/6 = 3/9 = 4/12?

The current experiments examined the role of scale factor in children's proportional reasoning. Experiment 1 used a choice task and Experiment 2 used a production task to examine the abilities of kindergartners through fourth-graders to match equivalent, visually depicted proportional relations. The findings of both experiments show that accuracy decreased as the scaling magnitude between the equivalent proportions increased. In addition, children's errors showed that the cost of scaling proportional relations is symmetrical for problems that involve scaling up and scaling down. These findings indicate that scaling has a cognitive cost that results in decreasing performance with increasing scaling magnitude. These scale factor effects are consistent with children's use of intuitive strategies to solve proportional reasoning problems that may be important in scaffolding more formal mathematical understanding of proportional relations.     

« Mon enfant est-il surdoué ? » Que demande-t-on ?

Is it possible to identify the specific characteristics as well as the scope of the phenomenon of demands concerning giftedness? The author presents and comments a set of data reflecting the activity of a Parisian consultation center over two separate years: 2004 (12% of the demands concern giftedness) and 2006 (11% of the demands concern giftedness). The psychometrical investigations are based on the Wechsler Scales (WISC-III; WISC-IV). The percentage of demands related to giftedness is quite high as compared to other motives. It mainly concerns children who do not show what are called “very superior” intellectual abilities. The development of certain social stereotypes could be an explanation.     

La relance du processus conventionnel relatif au clonage humain – Réflexions de lege ferenda

As regards human cloning, should the convention process – which failed at UN level following several years of procrastination – be relaunched? A United Nations University report (September 2007) and, subsequently, certain reflections on behalf of the International Bioethics Committee, point to the fact that an international convention, banning human reproductive cloning, could emerge in the near future. This convention – the content of which calls for pragmatism and humanism – is at the convergence of several choices. Even though the institutional framework of the UNESCO appears more suitable than that of the United Nations Organization, ambiguities remain regarding convention policy that need to be carefully considered: should a treaty only ban reproductive cloning, without considering, in the same treaty, regulations governing therapeutic cloning, or should both reproductive and therapeutic cloning be approached in a single treaty instrument?     

Les études des relations sociales précoces : sommes-nous trop « sécure » avec l'attachement ou trop « attaché » à la sécurité ?

During the past thirty years, empirical research has amply demonstrated the central role of early mother-child relations for subsequent social, cognitive and affective development. However, this confirmation of the vital role of primary attachment for later personal development has been accompanied by a relative neglect of the contribution of other social partners to the emerging competence of the young child. A critical review of the attachment literature underscores the need to replace the monotropic model of primary attachment by a more systemic model of development within the polyadic context of the family. For both theoretical and empirical reasons, a social ecological approach to early development permits overcoming the prosocial, positivistic biases of a single dimension, dyadic model of early socialization. The formulation of more systemic, multi-dimensional models of early family relations promises to advance our understanding of the complex adaptive processes that serve as developmental foundations for children’s emerging interpersonal competence.     

Republication : Impact de la pandémie COVID-19 sur le sommeil du personnel soignant

The COVID-19 pandemic significantly impacted the sleep quality of healthcare workers.With differences depending on the questionnaire used, the professional's specialty, and the country studied, about half of caregivers developed sleep disorders during this health crisis.Sleep disorders were associated primarily by symptoms of insomnia, poor sleep quality, reduced total sleep time, and frequent nightmares.Sleep alterations affected both frontline and backline caregivers during the COVID pandemic.Healthcare workers’ sleep studies confirm the importance of spreading the recommendations published by sleep experts.     

La loi no 2016-87 du 2 février 2016 créant de nouveaux droits en faveur des malades et des personnes en fin de vie : un nouvel équilibre décisionnel ?

Adopted after a tumultuous legislative process, the Act of 2 February 2016 complete the “Leonetti” law of April 22, 2005. Without going to legalize active help to die, this law does include some notable developments. It increases patient autonomy, including the consecration of mandatory advance directives and extends the right to refuse care. It specifies the role of the support person in the decision process and extends the scope of the collegiate procedure. Finally, it recognizes a right to care for the suffering and diversified palliative care modalities, particularly through the introduction of continuous deep sedation until death. Some aspects of the law relating to the mandatory advance directives or the process of sedation are however asked to be specified by regulation.     

Extending the 3 × 2 achievement goal model to the sport domain: The 3 × 2 Achievement Goal Questionnaire for Sport

In the present research, we sought to extend the 3 × 2 achievement goal model recently proffered in the school domain to the sport domain. We did so by conducting two studies focused on the development and initial validation of the 3 × 2 Achievement Goal Questionnaire for Sport (3 × 2 AGQ-S). Study 1 (n = 679), devised items for the questionnaire and demonstrated that data from the questionnaire nicely fit the proposed 3 × 2 model, showed a better fit to the 3 × 2 model than to alternative models, and indicated that each goal variable had good internal consistency. Study 2 again documented the strong psychometric properties of the measure, and additionally linked the goal variables to other constructs central to the achievement goal literature. The establishment of this measure allows extensive study of the 3 × 2 achievement goal model in the sport domain, and promises to yield deeper insights into the nature of achievement motivation in such contexts.     

Les capacités d'inhibition : une fonction « frontale » ?

It has been strongly suggested that one important function related to frontal lobes is inhibition. However, a review of the literature on classical tests of inhibition (Stroop test, WCST, and AB-AC learning) suggests that this hypothesis is not well established. We further examined this hypothesis using short-term and long-term directed forgetting tasks (Reed, 1970, Zacks et al., 1996), the Stroop test and the Hayling test (Burgess and Shallice, 1996) in 13 patients with focal frontal lesions. The results revealed short-term and long-term memory deficits and a slowing down, but no inhibition deficit compared with control subjects. These results question the relevance of the hypothesis of the frontal lobe as the unique substrate of inhibitory mechanisms. More generally, they address the issue of executive functions: are these sustained by the frontal cortex or by a cortical and subcortical diffuse neural network?