Le rappel stimulé pour élucider les décisions en action des étudiantes en services de garde

Cet article porte sur l'utilisation du rappel stimulé pour comprendre la pensée en action d'étudiantes du collégial. Il présente brièvement la problématique de la recherche ainsi que la méthodologie qui a donné lieu à la cueillette de douze rappels stimulés effectuée durant une même année scolaire, auprès de six étudiantes en techniques d'éducation en services de garde. Suivent la présentation des données recueillies, les limites observées ainsi que le rôle du chercheur. L'article aborde enfin la question de la valeur pédagogique de la rétroaction vidéo.This article describes the use of stimulated recall as a way to access students' thinking processes. The authors present the research question, the conceptual frame, and the methodology which was used to obtain twelve stimulated recalls from six students following a course in child care education techniques. Following a description of the data collected and the limits of the research, including the researcher's role, the author discusses the pedagogical value of video retrospection.En este articulo se examina el uso de la rememoracion estimulada como medio de acceso al pensamiento activo de los estudiantes. Se présenta brevemente la problemâtica y el marco teôrico de la investigation asi como la metodologia utilizada para capturar, durante un solo ano académico, doce rememoraciones estimuladas provenientes de seis estudiantes deTécnicas educativas en guarderfas. Después de presentar los datos recabados, se discuten los limites observados y el papel del investigador. El articulo termina discutiendo el valor pedagogico de la retroacciôn video.Dieser Artikel befafit sich mit dem Mittel der stimulierten Erinnerung, mit welchem Zugang zum handelnden Denken bei Schulerinnen geschafft wird. Nach einer Darlegung der Fragestellung und des theoretischen Rahmens der Forschungsarbeit wird die Méthode beschrieben, mit der wâhrend eines selben Schuljahrs zwôlf stimulierte Erinnerungen von sechs Schulerinnen des Lehrgangs "Methoden der Kleinkindererziehung" eingeholt wurden. Anschliefiend werden die gesammelten Daten vorgelegt und die beobachteten Grenzen und die Rolle des Forschers diskutiert. AbschliefSend wird der pâdagogische Wert des Video- Feedbacks erwogen

Une nouvelle avenue vers l'optimalisation de l'enseignement et des compétences

Titre de l'écran-titre (visionné le 17 déc. 2008).Également disponible en format papier.Bibliogr

Variation in the Diagnosis and Management of Appendicitis at Canadian Pediatric Hospitals

Objectives The objective was to characterize the variations in practice in the diagnosis and management of children admitted to hospitals from Canadian pediatric emergency departments (EDs) with suspected appendicitis, specifically the timing of surgical intervention, ED investigations, and management strategies. Methods Twelve sites participated in this retrospective health record review. Children aged 3 to 17 years admitted to the hospital with suspected appendicitis were eligible. Site-specific demographics, investigations, and interventions performed were recorded and compared. Factors associated with after-hours surgery were determined using generalized estimating equations logistic regression. Results Of the 619 children meeting eligibility criteria, surgical intervention was performed in 547 (88%). After-hours surgery occurred in 76 of the 547 children, with significant variation across sites (13.9%, 95% confidence interval = 7.1% to 21.6%, p \u3c 0.001). The overall perforation rate was 17.4% (95 of 547), and the negative appendectomy rate was 6.8% (37 of 547), varying across sites (p = 0.004 and p = 0.036, respectively). Use of inflammatory markers (p \u3c 0.001), blood cultures (p \u3c 0.001), ultrasound (p = 0.001), and computed tomography (p = 0.001) also varied by site. ED administration of narcotic analgesia and antibiotics varied across sites (p \u3c 0.001 and p = 0.001, respectively), as did the type of surgical approach (p \u3c 0.001). After-hours triage had a significant inverse association with after-hours surgery (p = 0.014). Conclusions Across Canadian pediatric EDs, there exists significant variation in the diagnosis and management of children with suspected appendicitis. These results indicate that the best diagnostic and management strategies remain unclear and support the need for future prospective, multicenter studies to identify strategies associated with optimal patient outcomes

Promoting healthy eating in early pregnancy in individuals at risk of gestational diabetes mellitus: does it improve glucose homeostasis? A study protocol for a randomized control trial

BackgroundHealthy eating during pregnancy has favorable effects on glycemic control and is associated with a lower risk of gestational diabetes mellitus (GDM). According to Diabetes Canada, there is a need for an effective and acceptable intervention that could improve glucose homeostasis and support pregnant individuals at risk for GDM.AimsThis unicentric randomized controlled trial (RCT) aims to evaluate the effects of a nutritional intervention initiated early in pregnancy, on glucose homeostasis in 150 pregnant individuals at risk for GDM, compared to usual care.MethodsPopulation: 150 pregnant individuals ≥18 years old, at ≤14 weeks of pregnancy, and presenting ≥1 risk factor for GDM according to Diabetes Canada guidelines. Intervention: The nutritional intervention initiated in the first trimester is based on the health behavior change theory during pregnancy and on Canada’s Food Guide recommendations. It includes (1) four individual counseling sessions with a registered dietitian using motivational interviewing (12, 18, 24, and 30 weeks), with post-interview phone call follow-ups, aiming to develop and achieve S.M.A.R.T. nutritional objectives (specific, measurable, attainable, relevant, and time-bound); (2) 10 informative video clips on healthy eating during pregnancy developed by our team and based on national guidelines, and (3) a virtual support community via a Facebook group. Control: Usual prenatal care. Protocol: This RCT includes three on-site visits (10–14, 24–26, and 34–36 weeks) during which a 2-h oral glucose tolerance test is done and blood samples are taken. At each trimester and 3 months postpartum, participants complete web-based questionnaires, including three validated 24-h dietary recalls to assess their diet quality using the Healthy Eating Food Index 2019. Primary outcome: Difference in the change in fasting blood glucose (from the first to the third trimester) between groups. This study has been approved by the Ethics Committee of the Centre de recherche du CHU de Québec-Université Laval.DiscussionThis RCT will determine whether a nutritional intervention initiated early in pregnancy can improve glucose homeostasis in individuals at risk for GDM and inform Canadian stakeholders on improving care trajectories and policies for pregnant individuals at risk for GDM.Clinical trial registrationhttps://clinicaltrials.gov/study/NCT05299502, NCT0529950

Le 3 juillet 1808 sur le Saint-Laurent

Overall view of sculpture; The work shows two brave men who operate a wood raft on the St. Lawrence River. In the background bas relief panel, the artist has sculpted a picturesque landscape of Quebec in the early 19th century. There is also a three-masted sailing ship heading towards a loading dock in the city of Quebec. The date of the title places the depiction on July 3, 1808, 200 years after the founding of Quebec by Samuel de Champlain and 200 years before the 400th. (The Promenade Samuel-De Champlain was created to celebrate the 400th anniversary in 2008.) Graduate of the School of Fine Arts of Quebec, ceramist Suzanne Gravel has designed and built monuments and murals since 1966. Source: Commission de la Capitale Nationale Quebec; http://www.capitale.gouv.qc.ca/ (accessed 7/24/2014

Le 3 juillet 1808 sur le Saint-Laurent

View of the back, with description of the work on the back bas relief panel; The work shows two brave men who operate a wood raft on the St. Lawrence River. In the background bas relief panel, the artist has sculpted a picturesque landscape of Quebec in the early 19th century. There is also a three-masted sailing ship heading towards a loading dock in the city of Quebec. The date of the title places the depiction on July 3, 1808, 200 years after the founding of Quebec by Samuel de Champlain and 200 years before the 400th. (The Promenade Samuel-De Champlain was created to celebrate the 400th anniversary in 2008.) Graduate of the School of Fine Arts of Quebec, ceramist Suzanne Gravel has designed and built monuments and murals since 1966. Source: Commission de la Capitale Nationale Quebec; http://www.capitale.gouv.qc.ca/ (accessed 7/24/2014

Le 3 juillet 1808 sur le Saint-Laurent

Detail of artist name, date and foundry name; The work shows two brave men who operate a wood raft on the St. Lawrence River. In the background bas relief panel, the artist has sculpted a picturesque landscape of Quebec in the early 19th century. There is also a three-masted sailing ship heading towards a loading dock in the city of Quebec. The date of the title places the depiction on July 3, 1808, 200 years after the founding of Quebec by Samuel de Champlain and 200 years before the 400th. (The Promenade Samuel-De Champlain was created to celebrate the 400th anniversary in 2008.) Graduate of the School of Fine Arts of Quebec, ceramist Suzanne Gravel has designed and built monuments and murals since 1966. Source: Commission de la Capitale Nationale Quebec; http://www.capitale.gouv.qc.ca/ (accessed 7/24/2014

Développer l'intervention en psychomotricité auprès des enfants /

"Cette recherche... a bénéficié d'une subvention du Ministère de l'éducation du Québec (MEQ) dans le cadre de son programme d'aide à la recherche sur l'enseignement et l'apprentissage (PAREA)"Également disponible en version électronique"Lauréate d'un prix dans le cadre du concours des Prix du Ministre de l'éducation, du loisir et du sport de 2005-2006"Bibliogr.: p. 280-29

Développer l'intervention en psychomotricité auprès des enfants

"Cette recherche... a bénéficié d'une subvention du Ministère de l'éducation du Québec (MEQ) dans le cadre de son programme d'aide à la recherche sur l'enseignement et l'apprentissage (PAREA)"Titre de l'écran-titre (visionné le 26 sept. 2005)Également disponible en format papierBibliogr.: p. 280-29