L’expertise en responsabilité hospitalière dans le secteur public : l’exemple de l’AP–HP

Public hospitals in France are submitted to special rules different from those in private hospitals. Missions of judicial experts are quite similar but some differences may be found during expertal meetings.     

Disciplinary sanctioning of students with intellectual disabilities: revisiting the status liability hypothesis

We examined the impact of disability status on disciplinary sanctioning of a student committing a minor versus severe behavioral infraction. We used the status liability hypothesis as a framework. This hypothesis suggests that individuals with a higher personal status receive sanctioning differentially based on the severity of offense. Specifically, individuals of high status are predicted to be sanctioned less severely than persons with lower status given a minor offense. The hypothesis also predicts that individuals accorded high status will receive more punitive sanctioning when the act of deviance from social norms is perceived as severe. Pre-service teachers were randomly assigned to judge the behavior of a student with or without an intellectual disability committing a behavioral offense. A student with an intellectual disability was seen as influenced by dispositional factors, regardless of the offense, while a student without a disability who committed a minor offense was seen as influenced by situational factors. The behavior of a student with an intellectual disability was judged as less severe, and the student was 50% less likely to incur an in-school suspension. When a student with an intellectual disability was sanctioned, the length of suspension was equal to that of a student without a disability.

Extending Energy Optimization in Goal-Directed Aiming from Movement Kinematics to Joint Angles

Energy optimization in goal-directed aiming has been demonstrated as an undershoot bias in primary movement endpoint locations, especially in conditions where corrections to target overshoots must be made against gravity. Two-component models of upper limb movement have not yet considered how joint angles are organized to deal with the energy constraints associated with moving the upper limb in goal-directed aiming tasks. To address this limitation, participants performed aiming movements to targets in the up and down directions with the index finger and two types of rod extensions attached to the index finger. The rod extensions were expected to invoke different energy optimizing strategies in the up and down directions by allowing the distal joints the opportunity to contribute to end effector displacement. Primary movements undershot the farthest target to a greater extent in the downward direction compared to the upward direction, showing that movement kinematics optimize energy expenditure in consideration of the effects of gravity. As rod length increased, shoulder elevation was optimized in movements to the far-up target and elbow flexion was optimally minimized in movements to the far-down target. The results suggest energy optimization in the control of joint angles independent of the force of gravity.     

How Working With a Helpful Versus Less Helpful Confederate Influences Joint-Action in a Pegboard Task

Actors change their movement strategies to complement a coactor's movements when performing cooperative tasks. To further investigate this topic, the authors designed a pegboard task whereby a participant-confederate pair worked together to move a peg from one side of the board to the other. The authors examined how the experience of working with a helpful confederate versus less helpful confederate influenced the participant's movement behavior. Results provide evidence that participants change their movement behaviors in response to the actions of the confederate. Here the human capacity to act in such a manner exemplifies an individual's ability to utilize his or her own action system to understand others and interact to complete joint action tasks. Individuals appear to adapt their behavior to their experiences, and thus may be helpful in some contexts and less helpful in others.     

How should citizens’ collective liability for state action be grounded?

This paper assesses one type of justification for collective liability – the democratic authorization account – according to which citizens can be held liable for what their state does, because they collectively authorize the state’s actions. I argue that the democratic authorization view, properly understood, has an implausibly narrow scope, which risks leaving many victims of injustice without compensation. Hence, I propose a subsidiary account that is wider in scope, and which applies to most cases of state-inflicted harm. This view picks out liable agents on the basis of (a) their ability to bear the compensatory burdens, (b) the incentives that the prospect of liability give citizens to hold their states in check, and (c) distributive concerns. Lastly, I address the relationship between citizens who are (merely) collectively liable for some harm, and citizens who are to some extent morally responsible (for instance in virtue of having endorsed the state-inflicted harm).     

老龄患者人工关节置换术时骨水泥反应综合征的危害及其应对策略

人工关节置换术在老龄化社会中的客观需求性愈来愈突出,而老龄患者在人工关节置换术时发生的骨水泥反应综合征是一个不容忽视的严峻问题。笔者指出了老龄患者人工关节置换术时骨水泥反应综合征的严重危害性,剖析了这种并发症的可能原因,并且对它的有效预防措施和急救处理策略进行了深刻的思考。     

The limited effects of power on satisfaction with joint consumption decisions

We conduct three experiments in which participants in dyads choose between two restaurants, each of which is preferred by only one participant, and one participant has the power to decide which restaurant both will patronize. We find that the power to make a joint decision increases satisfaction with the choice only when those involved have a competitive decision orientation, a weak or anonymous relationship, and the outcome they choose is subsequently available. Participants who have a cooperative orientation are satisfied whether or not they have power and whether or not the resulting choice is consistent with their initial preferences.     

Quantifying the three-dimensional joint position sense of the shoulder

Joint position sense is important for performing activities of daily living and recreational activities. The objective of this study was to develop new insights into the proprioceptive capabilities of the shoulder using a novel virtual reality paradigm where participants actively recreated shoulder positions in all three dimensions. This allows for better identification of changes in joint position sense across different shoulder postures. Ten males and ten female healthy adults matched a cursor controlled by shoulder rotations calculated from motion capture tracking, to a target shoulder position presented in a virtual environment with the use of a virtual reality headset. Four elevation angles, three plane of elevation angles, and three rotation angles were investigated, totaling thirty-six angles that encompassed the range of motion of the shoulder. Joint position sense was enhanced as the elevation angle was increased, and further enhanced when the arm was more externally rotated and elevated. As elevation angle increased to 90°, joint position sense significantly increased. There was also a significant interaction of external rotation on elevation angle. As elevation angle increased, participants were more accurate when the arm was externally, but exhibited greater variability. These improvements in joint position sense are likely produced by increased tension in muscles and capsuloligamentous mechanoreceptors within the shoulder. As many sports and activities of daily living require joint position sense to complete a task, the ability to elevate and externally rotate is important for adequate shoulder proprioception and control.     

Infant sustained attention but not joint attention to objects at 9 months predicts vocabulary at 12 and 15 months

Vocabulary differences early in development are highly predictive of later language learning as well as achievement in school. Early word learning emerges in the context of tightly coupled social interactions between the early learner and a mature partner. In the present study, we develop and apply a novel paradigm—dual head‐mounted eye tracking—to record momentary gaze data from both parents and infants during free‐flowing toy‐play contexts. With fine‐grained sequential patterns extracted from continuous gaze streams, we objectively measure both joint attention and sustained attention as parents and 9‐month‐old infants played with objects and as parents named objects during play. We show that both joint attention and infant sustained attention predicted vocabulary sizes at 12 and 15 months, but infant sustained attention in the context of joint attention, not joint attention itself, is the stronger unique predictor of later vocabulary size. Joint attention may predict word learning because joint attention supports infant attention to the named object.     

资源困境中共同收益延迟的影响：时间折扣的调节效应

通过测量83名大学生的时间折扣率和不同共同收益延迟时距上的金币拿取量,以探讨资源困境中共同收益延迟对个体决策的影响及时间折扣的调节效应。结果表明：（1）金币拿取量随共同收益延迟时距的增长而增加,增加趋势和初始时间点的金币拿取量均存在显著的个体差异;（2）时间折扣率反向调节初始延迟时间点的金币拿取量,正向调节金币拿取量随延迟时距增长而增加的速率。这表明资源困境与跨期选择两个不同研究领域具有紧密联系,对当前资源保护制度的制定与实施具有一定的启发意义。