Les phénomènes de dépendance à l’environnement: réflexions sur l’autonomie humaine à partir de la clinique neurologique

Dans cet article, nous proposons d’analyser la perte d’autonomie caractérisée par les phénomènes de dépendance à l’environnement observés chez certains patients neurologiques présentant des lésions des lobes frontaux. Des propositions théoriques issues de la neuropsychologie cognitive et de la théorie de la médiation sont développées et confrontées. La démarche offre l’occasion, au plan théorique, de questionner la détérioration possible du système de la personne suite à des lésions cérébrales et, au plan méthodologique, d’interroger notre manière d’examiner ces patients en confrontant les modèles théoriques aux observations clinique

Ergologie : développements théoriques et mise à l’épreuve clinique

The aim of this work is to propose a systematic synthesis of « Théorie De la Mediation’s » theoretical propositions on the « Tool model » and to take a few more steps forward. To do this, I propose a confrontation and a discussion of the « photofits pictures » resulting from theory with clinical observation of supposedly « atechnical  » patients

Apraxia and Alzheimer’s Disease: Review and Perspectives

Apraxia is one of the cognitive deficits that characterizes Alzheimer\u27s disease. Despite its prevalence and relevance to diagnosing Alzheimer\u27s disease, this topic has received little attention and is without comprehensive review. The review herein is aimed to fill this gap by first presenting an overview of the impairment caused in different clinical situations: pantomime of tool use, single tool use, real tool use, mechanical problem solving, function and manipulation knowledge tasks, and symbolic/meaningless gestures. On the basis of these results, we then propose alternative interpretations regarding the nature of the underlying mechanisms impaired by the disease. Also presented are principal methodological issues precluding firm conclusions from being drawn

Bt maize: a tool for improving food safety of grains at harvest

A new EU (European Union) regulation came into force in 2007 with Regulation (EC) No. 1126/2007 which established maximum levels for fumonisins B1 and B2 (4000 ppb), deoxynivalenol (1750 ppb) and zearalenone (350 ppb) in maize and maize products. In order to evaluate French maize food safety, studies were carried out by the national Biological Risk Monitoring (BRM) Network. In this study, field trials involving 84 plots were conducted with Bt maize (MON 810) and its isogenic non-Bt counterpart in 2005 and 2006 in South-western France. Mycotoxin levels were determined in grain at harvest. Fumonisins B1 and B2, deoxynivalenol, and zearalenone were analyzed by LC-MS-MS and the results treated statistically using non parametric tests for mycotoxins and analysis of variance test for weather variables. As the climate was homogenous inside the experimental area, the transgenic event introduced into the maize was the only key parameter which differed between Bt and non-Bt maize plots. Our results showed that all mycotoxin families were not impacted in the same way. The efficacy of Bt maize reduced mycotoxins more than 90% for fumonisins and more than 50% for zearalenone although deoxynivalenol was lightly increased. Therefore a competition between the different Fusarium spp. which produced fumonisins or trichothecenes is hypothesized. According to Regulation (EC) No. 1126/2007, 93% of the maize of Bt maize plots were able to be commercialized compared to only 45% for non-Bt maize plots. The results of this work showed that Bt maize improved food safety and constituted an useful tool to reduce significantly mycotoxin levels in harvested and stored grains. Keywords: Bt (MON810) maize, Fumonisins B1 and B2, Deoxynivalenol (DON), Zearalenone, EC regulation 1126/2007 threshold

Different constraints on grip selection in brain-damaged patients: Object use versus object transport

The present study discusses the presence of different constraints on action selection during object use versus object transport. Sixteen left brain-damaged (LBD) patients, 10 right brain-damaged (RBD) and 35 healthy controls were examined on a grip preference test consisting of a grasping-to-transport and a grasping-to-use condition. Assessment included a general praxis testing (pantomime production, object utilization gesture recognition and object use). We also reported the case of a close-head injury patient (DR) with an atypical behavioural pattern. Our results supported the different constraint hypothesis. While several LBD and RBD patients performed inappropriate grips in the grasping-to-transport condition, only two patients (L2 and DR) used inappropriate grips in the grasping-to-use condition. No correlation was found between the two conditions of the grip preference test and measures of the general praxis testing. The discussion focuses on the nature of constraints on grip selection during object use and object transport

Re-examining the gesture engram hypothesis. New perspectives on apraxia of tool use

In everyday life, we are led to reuse the same tools (e.g., fork, hammer, coffee-maker), raising the question as to whether we have to systematically recreate the idea of the manipulation which is associated with these tools. The gesture engram hypothesis offers a straightforward answer to this issue, by suggesting that activation of gesture engrams provides a processing advantage, avoiding portions of the process from being reconstructed de novo with each experience. At first glance, the gesture engram hypothesis appears very plausible. But, behind this beguiling simplicity lies a set of unresolved difficulties: (1) What is the evidence in favour of the idea that the mere observation of a tool is sufficient to activate the corresponding gesture engram? (2) If tool use can be supported by a direct route between a structural description system and gesture engrams, what is the role of knowledge about tool function? (3) And, more importantly, what does it mean to store knowledge about how to manipulate tools? We begin by outlining some of the main formulations of the gesture engram hypothesis. Then, we address each of these issues in more detail. To anticipate our discussion, the gesture engram hypothesis appears to be clearly unsatisfactory, notably because of its incapacity to offer convincing answers to these different issues. We conclude by arguing that neuropsychology may greatly benefit from adopting the hypothesis that the idea of how to manipulate a tool is recreated de novo with each experience, thus opening interesting perspectives for future research on apraxia

Item reduction of the patient-rated wrist evaluation using decision tree modelling

© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Background: The aim of this study is to assess the viability of a decision tree version of an often used questionnaire to measure wrist pain and disability, the Patient Rated Wrist Evaluation. Methods: Patient Rated Wrist Evaluation scores were collected from a cohort of 10394 patients who are part of a routine outcome measurement system. A decision tree version of the Patient Rated Wrist Evaluation (PRWE) was created. The intraclass correlation was used to evaluate the inter-version reliability between the original PRWE and the decision tree version. Results: The decision tree reduced the number of questions from 5 to 3 for the pain subscale, and from 10 to 3 for the disability subscale. The intraclass correlation between the original PRWE and the decision tree version was 0.97. The mean difference between the Patient Rated Wrist Evaluation and the decision tree Patient Rated Wrist Evaluation total sumscore was 0.35 (95% CI −9.92–10.62). Conclusions: We found that the decision tree was successful at reducing the items of the Patient Rated Wrist Evaluation from fifteen to only six questions with very high similarity to the scores of the full questionnaire.Implications for rehabilitation The Patient Rated Wrist Evaluation can reliably be used with 6 instead of 15 questions. Decision trees are useful statistical tools to shorten lengthy questionnaires, especially when large amounts of data are available. Having a shortened Patient Rated Wrist Evaluation saves patients and clinicians time in answering this specific questionnaire

Vous avez dit Homo Faber ?

Dans cet article, nous nous intéressons à la question des équivalences, similarités et irréductibilités entre l’homme et l’animal non-humain du point de vue de l’activité outillée. Pour cela, nous proposons une revue de littérature pluridisciplinaire sur la sensorimotricité, le raisonnement causal ou encore l’usage des objets. Cette revue est également l’occasion d’un échange critique entre ces apports théoriques et la Théorie de la médiation