Performance of Faller and Nonfaller Older Adults on a Motor–Motor Interference Task

Typically, falls in older adults occur when 2 tasks are performed simultaneously, due to the increased motor demand required to maintain stability and attention to perform the other task. The authors' purpose was to investigate walking while grasping, transporting, and placing a dowel on a predetermined target while manipulating difficulty levels of the manual task. Faller and nonfaller older adults performed a walking block (manual tasks combined with gait) and a stationary block (upright stance combined with manual tasks). The manual task involved grasping, transporting, and placing the dowel over a target. The results showed that fallers underperformed when compared with nonfallers in the task of placing the dowel over the target. The main difference observed between the groups was found in the condition that required allocation of attention between tasks and greater accuracy in the final placement of the object. Fallers showed gait stability similar to the nonfallers, but fallers were less accurate than nonfallers in the object placement task, especially for the highest level of difficulty. Thus, fallers seem to use a stability-first strategy. Fallers had problems in executing the manual tasks, which suggests a more global change in motor behavior rather than specific changes to balance control.     

Spiritist Hospital Chaplaincy in Brazil: 5 Years of Documented Experience

Spiritist Hospital Chaplaincy in Brazil has been growing significantly in recent years, with the implementation of new services through the work of Spiritist Medical Associations (SMAs) in different regions of the country. This article describes the importance of historical interconnections from the advent of spiritism in the world and its introduction in Brazil to the emergence of Spiritist Hospital Chaplaincy in our country and presents the documented experience over 5 years of spiritist chaplain care, in the period from 2012 to 2016, guided by the SMA of Piracicaba at the Unimed Hospital of Piracicaba (São Paulo). We documented 41,914 visits to 13,983 inpatients and an analysis of these records allowed us to reflect on the importance of this service and confirm its expansion and acceptance by different contemporary religious beliefs.     

Reproductive Decision Support: Preferences and Needs of Couples at Risk for Hereditary Cancer and Clinical Geneticists

For couples at high risk of transmitting a cancer predisposition to offspring, reproductive decision-making can be challenging. As the choice between available reproductive options is preference-sensitive, the use of a decision aid can support these couples in their decisional process. The present study aims to investigate preferences and needs of involved stakeholders regarding the development and implementation of a patient decision aid. Semi-structured interviews assessing the needs and preferences regarding the content and functionalities of a decision support program were conducted among seven couples at risk for hereditary cancer and among eight clinical geneticists involved in oncogenetic counseling. Many similarities were found between the expressed preferences and needs of both stakeholder groups concerning the content, barriers and facilitating factors regarding the use of the decision aid, and its implementation. Emphasis was placed on the use of simple non-medical language, an extensive explanation of the procedures and techniques used in prenatal diagnosis (PND) and preimplantation genetic diagnosis (PGD), and the role of health care providers to refer couples to the decision aid. Both stakeholder groups were in favor of incorporating narrative stories in the decision aid. Integrating the present findings with knowledge on reproductive decisional motives and considerations is essential in guiding the development of a decision aid that corresponds to the preferences and needs of end-users. Trial registration: NTR5467     

De l’opportunité d’une nouvelle loi sur la fin de vie ?

This paper deals with the end of life issue. It advocates for putting the legislation about end of life a part from bioethics laws and addresses some legal problems.     

Bayesian inference for psychology. Part II: Example applications with JASP

Bayesian hypothesis testing presents an attractive alternative to p value hypothesis testing. Part I of this series outlined several advantages of Bayesian hypothesis testing, including the ability to quantify evidence and the ability to monitor and update this evidence as data come in, without the need to know the intention with which the data were collected. Despite these and other practical advantages, Bayesian hypothesis tests are still reported relatively rarely. An important impediment to the widespread adoption of Bayesian tests is arguably the lack of user-friendly software for the run-of-the-mill statistical problems that confront psychologists for the analysis of almost every experiment: the t-test, ANOVA, correlation, regression, and contingency tables. In Part II of this series we introduce JASP (http://www.jasp-stats.org), an open-source, cross-platform, user-friendly graphical software package that allows users to carry out Bayesian hypothesis tests for standard statistical problems. JASP is based in part on the Bayesian analyses implemented in Morey and Rouder’s BayesFactor package for R. Armed with JASP, the practical advantages of Bayesian hypothesis testing are only a mouse click away.     

Diversité du sens de l’orientation des collégien(ne)s orienté(e)s vers la 3e préparatoire aux formations professionnelles (3e PFP) : le rôle de l’expérience scolaire antérieure

Professional exploration modules are offered to the secondary school students attending a Preparatory to Vocational Training (3rd PVT). They are aimed at the academically weak pupils’ remobilization through the development of a training project in vocational education. Based on the model of plural and active socialization (Malrieu, 2003), this article aims to understand the processes of inter-significance between the meaning of school experience, the relation to learning and the relation to the future which underlines the building of the meaning of orientation of middle school students to the PVT program. One hundred and ninety-nine middle school students from 14 to 16 years old who attend the PVT in vocational schools underwent a computerized questionnaire including 96 items. A hierarchical cluster analysis (HCA) differentiates three typical profiles of college students. Though the orientation in the PVT program remains characterized by strong social determinisms (school history and social origin), it seems for a majority of students built on positive representations dependent on the meaning of the previous school experience more than on a projection to the future.     

Analyzing the kinematics of hand movements in catching tasks—An online correction analysis of movement toward the target’s trajectory

Free, 3-D interceptive movements are difficult to visualize and quantify. For ball catching, the endpoint of a movement can be anywhere along the target’s trajectory. Furthermore, the hand may already have begun to move before the subject has estimated the target’s trajectory, and the subject may alter the targeted position during the initial part of the movement. We introduce a method to deal with these difficulties and to quantify three movement phases involved in catching: the initial, non-goal-directed phase; the goal-directed phase, which is smoothly directed toward the target’s trajectory; and the final, interception phase. Therefore, the 3-D movement of the hand was decomposed into a component toward the target’s trajectory (the minimal distance of the hand to the target’s parabolic [MDHP] trajectory) and a component along this trajectory. To identify the goal-directed phase of the MDHP trajectory, we employed the empirical finding that goal-directed trajectories are minimally jerky. The second component, along the target’s trajectory, was used to analyze the interaction of the hand with the ball. The method was applied to two conditions of a ball-catching task. In the manipulated condition, the initial part of the ball’s flight was occluded, so the visibility of the ball was postponed. As expected, the onset of the smooth part of the movement shifted to a later time. This method can be used to quantify anticipatory behavior in interceptive tasks, allowing researchers to gain new insights into movement planning toward the target’s trajectory.     

Representational momentum in dynamic facial expressions is modulated by the level of expressed pain: Amplitude and direction effects

Humans have developed a specific capacity to rapidly perceive and anticipate other people’s facial expressions so as to get an immediate impression of their emotional state of mind. We carried out two experiments to examine the perceptual and memory dynamics of facial expressions of pain. In the first experiment, we investigated how people estimate other people’s levels of pain based on the perception of various dynamic facial expressions; these differ both in terms of the amount and intensity of activated action units. A second experiment used a representational momentum (RM) paradigm to study the emotional anticipation (memory bias) elicited by the same facial expressions of pain studied in Experiment 1. Our results highlighted the relationship between the level of perceived pain (in Experiment 1) and the direction and magnitude of memory bias (in Experiment 2): When perceived pain increases, the memory bias tends to be reduced (if positive) and ultimately becomes negative. Dynamic facial expressions of pain may reenact an “immediate perceptual history” in the perceiver before leading to an emotional anticipation of the agent’s upcoming state. Thus, a subtle facial expression of pain (i.e., a low contraction around the eyes) that leads to a significant positive anticipation can be considered an adaptive process—one through which we can swiftly and involuntarily detect other people’s pain.     

Evaluating risk propensity using an objective instrument

Risk propensity is the stable tendency to choose options with a lower probability of success, but greater rewards. Its evaluation has been approached from various perspectives: from self-report questionnaires to objective tests. Self-report questionnaires have often been criticized due to interference from voluntary and involuntary biases, in addition to their lack of predictive value. Objective tests, on the other hand, require resources that make them difficult to administer to large samples. This paper presents an easy-to-administer, 30-item risk propensity test. Each item is itself an objective test describing a hypothetical situation in which the subject must choose between three options, each with a different gain function but equivalent in expected value. To assess its psychometric fit, the questionnaire was administered to 222 subjects, and we performed a test of its reliability as well as exploratory factor analysis. The results supported a three-factor model of risk (Sports and Gambling, Long-term Plans, and Loss Management). After making the necessary adjustments and incorporating a global factor of risk propensity, confirmatory factor analysis was done, revealing that the data exhibited adequate goodness of fit.