Évaluation des habiletés de vie autonome chez les personnes psychotiques

Ce texte détaille les caractéristiques métrologiques de l'Échelle des habiletés de Vie Autonome (EHVA) mesurant les habiletés requises chez des personnes psychotiques, pour fonctionner de façon autonome au sein de la communauté. Ce questionnaire, qui comprend 65 items répartis en dix échelles d'habiletés, a été administré à 276 personnes psychotiques. Les résultats indiquent que, dans l'ensemble, la fidélité de cet instrument est bonne, mesurée par l'accord interjuges et les coefficients alpha. Trois des 10 échelles, soit les échelles Déplacement, Recherche d'emploi et Maintien de l'emploi, n'ont pu être conservées dans la version finale. Les quatre aspects de la validité examinés dans cette étude se révèlent très satisfaisants; il s'agit du degré de convergence entre l'évaluation faite par les participants eux-mêmes et par un membre du personnel soignant, des analyses discriminantes, des corrélations convergentes-divergentes avec d'autres instruments de mesure du fonctionnement psychosocial et de l'analyse factorielle exploratoire. Après ces analyses, la version finale de l'EHVA comprend 48 items répartis sous sept échelles. La discussion fait ressortir les qualités psychométriques d'un tel instrument en langue française et suggère des pistes de recherche pour poursuivre le développement de l'EHVA.This article studies in detail the metrological characteristics of the "Autonomous Life Skills Test" ("Echelle des Habiletés de Vie Autonome" or "EHVA") which measures the skills required of psychotic patients to function on their own in the community. The questionnaire, distributed to 276 psychotic patients, made use of 10 parameters of skills broken down into 65 items. Results show that, overall, this instrument is quite reliable, as measured by the inter-rater reliability and alpha coefficients. Three of the ten parameters, namely Mobility, Employment Search and Employment Holding, were not retained in the final version. The four validity aspects were found to be very satisfactory, namely the degree of convergence between the participant's self-evaluation and the evaluation provided by healthcare personnel, (discriminating analysis), convergent-divergent correlations with other instruments measuring psychosocial functioning and the exploratory factorial analysis. Following these analysis, the final version of the "EHVA" includes 48 items covering seven parameters. A discussion of results underscores the psychometric qualities of such a French-language instrument and suggests avenues to pursue the development of the "EHVA"

Robert Dion, Frances Fortier, Barbara Havercroft, Hans-Jürgen LüseBrink, dirs, Vies en récit. Formes littéraires et médiatiques de la biographie et de l’autobiographie

Ce collectif est une version peaufinée des contributions issues du colloque Formes hétérodoxes de l’auto/biographie : littéraire, histoire, médias organisé à l’Université du Québec à Montréal en mai 2004. La problématique d’une si vaste mais profonde réflexion transparaît dès l’introduction de la livraison : « Si le statut du sujet reste peu problématique dans les réalisations télévisuelles visant le grand public, il en va autrement dans des œuvres significatives récentes, qu’elles soient lit..

Zakaria Lingane, Mémoire et génocides au XXe siècle

Comment comprendre le crime de génocide  ? Peut-on expliquer ce crime hors du commun  ? Comment le distinguer d’autres massacres de masse ou de crimes contre l’humanité  ? Si ce ne sont ni l’ampleur ni la forme d’une tuerie qui en font un génocide, comment le définir  ? Pourquoi le XXe siècle a-t-il été qualifié de «  siècle des génocides  »  ? Peut-on véritablement prévenir le génocide  ? Quelle place consacrer au «  devoir de mémoire  » pour qu’il ne se reproduise pas  ? Tel est l’écheveau ..

Ute Fendler, Hans-Jürgen Lüsebrink, Christoph Vatter, dirs, Francophonie et globalisation culturelle. Politique, médias, littératures

Le collectif Francophonie et globalisation culturelle. Politique, médias, littératures s’intéresse aux avatars de la mondialisation en lien avec la francophonie, et à la manière dont la globalisation culturelle est vécue en France, au Canada et en Afrique francophone. En 288 pages, l’ouvrage se déploie selon trois axes équilibrés : les discours politico- culturels, la presse et les littératures, les cultures populaires et les nouveaux médias. Dans le premier axe, Kian-Harald Karimi (pp. 17-38..

L’animal : agent du biopouvoir dans l’imaginaire postcolonial Alain Cyr Pangop Kameni et Hervé Tchumkam

This article seeks to understand the status of the animal and its relation to biopolitics in postcolonial fiction. Going beyond and against Graham Huggan’s notion of “postcolonial exotic”, the analysis of the relation between human and animal is twofold: first, describe and interpret the mechanisms of power, and second, show how the figure of the beast which is at the center of political struggle and social conflict makes more complex the understanding of the “discipline and punish” in postcolonial contexts. Ultimately, drawing on the study of selected novels and drama, the aim of this paper is to show that the presence of animals in postcolonial fiction is consistent with the methods of controls of citizens by political power

Improving The Effectiveness Of Human Resources Practices Through Transforming Care At The Bedside

In 2010, in an effort to increase patient involvement in decision-making about health care redesign, a Quebec university health care organization implemented the Transforming Care at the Bedside (TCAB). This article presents the results from a qualitative study exploring health professionals’ perceptions of TCAB and the effect on turnover and overtime. This descriptive, qualitative study utilized focus groups, individual interviews, and a review of administrative documents for data collection. Participants included hospital workers from five units implementing TCAB. The data generated by the interviews and focus groups were analyzed using NVivo with the method proposed by Miles and Huberman (1994). During the first year of implementation of TCAB, the team noted the importance of taking time to see the effects of the changes and thereby facilitate the involvement of other team members. A number of TCAB team members also cited communication as a facilitating element for informing team members of changes. According to the participants, the TCAB strategies that were implemented have had a positive impact on practice and on the work environment, and turnover showed an improvement. There was no change in absenteeism. TCAB has the potential to impact not only nurses’ work, but interprofessional team work as well, through changes that involve everyone. Future research should focus on how to support team members to reduce resistance to change and increase social support in order to implement and sustain changes.

An extremely radioresistant green eukaryote for radionuclide bio-decontamination in the nuclear industry

International audienceNuclear activities generate radioactive elements which require processes for their decontamination. Although biological remediation has proved efficient in industrial applications, no biotechnology solution is currently operational for highly radioactive media. Such a solution requires organisms that accumulate radionuclides while withstanding radioactivity. This paper describes the potentialities of an extremophile autotrophic eukaryote, Coccomyxa actinabiotis nov. sp., that we isolated from a nuclear facility and which withstands huge ionizing radiation doses, up to 20,000 Gy. Half the population survives 10,000 Gy, which is comparable to the hyper-radioresistant wellknown prokaryote Deinococcus radiodurans. Cell metabolic profile investigated by nuclear magnetic resonance was hardly affected by radiation doses of up to 10,000 Gy. Cellular functioning completely recovered within a few days. This outstanding microalga also strongly accumulates radionuclides, including 238U, 137Cs, 110mAg, 60Co, 54Mn, 65Zn, and 14C (decontamination above 85% in 24 h, concentration factor, 1,000-450,000 mL g-1 fresh weight). In 1 h, the microalga revealed as effective as the conventional physico-chemical ion-exchangers to purify nuclear effluents. Using this organism, an efficient real-scale radionuclide bio-decontamination process was performed in a nuclear fuel storage pool with an important reduction of waste volume compared to the usual physico-chemical process. The feasibility of new decontamination solutions for the nuclear industry and for environmental clean-up operations is demonstrated

Psychological distress among hospital caregivers during and after the first wave of COVID-19: Individual factors involved in the severity of symptoms expression

Coronavirus disease 2019 has spread rapidly over the globe and has put an unprecedent psychological pressure on health care workers (HCWs). The present study aimed at quantifying the psychological consequences of the COVID-19 pandemic on HCWs during and after the first wave and identify sociodemographic, situational, and psychological risk/protective factors for symptoms severity. An online survey was sent by e-mail to all nurses and physicians employed by a teaching hospital in Brussels, Belgium. 542 (20,62%) completed the survey. 47%, 55%, 32% and 52% of participants reported posttraumatic stress, anxiety, depression and insomnia symptoms, respectively, during the peak. Two to three months later, posttraumatic symptoms emerged de novo in 54% of HCWs. It persisted in 89% of those presenting severe symptoms initially. Neuroticism was the strongest predictor of posttraumatic stress, anxiety, and insomnia. Work overload was the strongest predictor of depression and second predictor of posttraumatic stress, anxiety, and insomnia. Other significant predictors included being a nurse, the number of past traumatic experiences, avoidant coping style, and expressive suppression of emotion