environnent

Older adults, 65 years of age and older, living in long-term care (LTC) commonly experience anxiety. This study aimed to understand care providers' perspectives on the barriers to and facilitators of managing anxiety in residents of LTC. Ten semi-structured interviews with care providers in LTC were completed. Framework analysis methods were used to code, thematically analyze, designate codes as barriers or facilitators, and map the codes to the Theoretical Domains Framework. Themes were categorized as acting at the resident, provider, or system level, and were labelled as either barriers to or facilitators of anxiety care...

The confluence of rapid population aging and the overwhelming desire of older adults to age in place begs the question: Do our cities support the health and well-being of aging populations? Using a neighbourhood-by-neighbourhood approach, this macro-scale investigation explores the "double risk" that many older adults live with - the potential of being disadvantaged by socio-demographic risk factors (being older, living alone, low income) and by living in an unsupportive built environment. It is an integration of what we know about supportive built form for older adults and applies this knowledge to Canadian cities, using a spectrum approach to classifying built environments...

The fight against antibiotic resistance must incorporate the "One Health" concept to be effective. This means having a holistic approach embracing the different ecosystems, human, animal, and environment. Transfers of resistance genes may exist between these three domains and different stresses related to the exposome may influence these transfers. Various targeted or pan-genomic molecular biology techniques can be used to better characterise the dissemination of bacterial clones and to identify exchanges of genes and mobile genetic elements between ecosystems...

No abstract text is available yet for this article.

The environment of an asthmatic patient can contain numerous sources of pollutants that degrade the quality of indoor air and have major repercussions on the occurrence and control of asthma. Assessment and improvement of the quality of indoor air should be assigned a major role in pneumology and allergology consultations. Characterization of an asthmatic's environment entails a search for biological pollutants with mite allergens, mildew, and allergens resulting from the proximity of pets. It is important to evaluate the chemical pollution represented by exposure to volatile organic compounds, which are increasingly present in our lodgings...

Our society is regularly faced with new dangers, linked to the evolution of living conditions, production, work, consumption and housing. Health systems are no stranger to this. On the contrary, they have a real impact on the environment, which needs to be mitigated. Professionals can contribute to this by changing their practices (prescribing certain examinations that consume less energy, using low-impact therapeutic methods, teaching patients not to over-consume, etc.). For this eco-design of care to work, it is essential to make students aware of it as early as their initial training...

BACKGROUND: Venous thromboembolism (VTE) is a cause of increased morbidity and mortality in cancer patients. VTE is the second leading cause of death in cancer patients. Risk assessment models have been developed to identify patients at risk of VTE for thromboprophylaxis. Risk scores of patients in our environment have not been adequately investigated. OBJECTIVE: The study evaluates the association of thrombotic risk assessment scores (using the modified Khorana risk assessment tool) and soluble P-selectin levels with thrombotic events in patients with lymphoid cancer...

Training of health sciences students is based on the acquisition of clinical skills. Tools assessing the application of theoretical knowledge through written examinations or the tools evaluating student's performance at patient bedsides are characterized by a low reliability. The Objective Structured Clinical Examination (OSCE) was developed to address the lack of reliability and standardization of traditional forms of the assessment of clinical performance.

ITS MEANS AND PURPOSES. Obesity among children, like any other chronic pathology, has noticeable consequences on the patient's body and on his overall quality of life. As psychologists, we aim to explore not only the child's family environnement but also the way he relates to food and perceives his own body. As it is often the case with any medical symptoms, weight gain paves the way to the patient's psyche and internal conflicts. A kind approach is fundamental, respectful of the family's intimacy as well as the child's temporality...

Depression in the elderly is difficult to identify because it is often masked by other pathological features. It is therefore important for everyone involved to be vigilant and to be able to ask for help from a qualified professional. The individual interacts with his or her human and material environment. The environment can be depressogenic. The quality of life of the person intervenes in the course of the depression.

Germinal center regulation pathways are often involved in lymphomagenesis and myelomagenesis. Most of the lymphomas (and multiple myeloma) derive from post-germinal center B-cells that have undergone somatic hypermutation and class switch recombination. Hence, B-cell clonal expansion can be responsible for the presence of a monoclonal component (immunoglobulin) of variable titer which, owing to physicochemical properties, can provoke pathologically defined entities of diseases. These diseases can affect any functional part of the kidney, by multiple mechanisms, either well known or not...

Les personnes âgées atteintes de troubles neurocognitifs (démences) vivant en centre d'hébergement adoptent fréquemment des comportements réactifs qui limitent leur engagement dans des occupations. La présente étude vise à identifier des moyens d'intervention centrés sur l'engagement des personnes âgées ayant un trouble neurocognitif avec l'environnement humain et non humain en centre d'hébergement afin de diminuer leurs comportements réactifs, en particulier les comportements d'errance, d'apathie et d'agitation...

Societal expectations underline the importance of offering nursing home résidents an environment that is favorable to health and quality of life. Experimental studies conducted on the enriched environment have shown interesting perspectives without, however, transposing them to the living environment of the older persons. The enriched garden is an innovative concept in geriatrics, resulting from translational research that could provide encouraging answers to the question of improving the living environment in psycho-geriatric institutions...

The development of myopia is influenced by multiple environmental and genetic factors. A third component, epigenetics, may shed light on some of the relationships between environmental and genetic factors. Epigenetics is defined as the study of modulations of gene activity that can be transmitted over cell divisions without involving mutation of the DNA sequence. Methylation is one of the main mechanisms by which gene expression is decreased. In the context of myopia, the study of epigenetic mechanisms also contributes to the understanding of the involvement of candidate genetic variants...

The modernization and development of information systems are major challenges for the hospital of the future. Driven by the public authorities, the "Hôpital numérique ouvert sur son environnement" (Digital Hospital open to its environment) program and the Ségur digital health program rely on digital technology to facilitate the exchange and sharing of information, and thus improve the quality of the service provided to users in terms of care, support, and treatment. At the National Agency for Supporting the Performance of Health and Medical-Social Establishments, Yves Beauchamp is working on proposing tools and methodological kits to help establishments achieve the objectives set by these national programs...

No abstract text is available yet for this article.

BACKGROUND: Over two-thirds of the world's population cannot access surgery when needed. Interventions to address this gap have primarily focused on surgical training and ministry-level surgical planning. However, patients more commonly cite cost-rather than governance or surgeon availability-as their primary access barrier. We undertook a randomized, controlled trial (RCT) to evaluate the effect on compliance with scheduled surgical appointments of addressing this barrier through a cash transfer...

With the advent of bipedalism, human beings have experienced a different relationship with the environment and have greatly transformed it. Today, 67 to 80% of French people live far from rural areas, in cities that are sometimes very large. However, relationships with nature are essential to our development and to our physical and emotional well-being. Supporting children through encounters with nature contributes to their development. In this way, it is possible to combine the care of young children with, in the longer term, the care of the environment...

The continuing dialogue within analytical psychology regarding the relationship to Jung's "collective unconscious" and biological research calls for a more sophisticated treatment of terminology that is consilient with modern neurogenetics. This essay explores how fully understanding the way genome and environment interact can help us parse out clinical material, enabling us to judge what expressions are repeats of early experiences vs. what are innately driven re-organizations of experience.

COVID-19 has highlighted the necessary synergy between clinicians and researchers. Such synergy constitutes the DNA of GIGA I3 (GIGA-Infection, Immunity and Inflammation) and makes its wealth. It ensures the translational nature of the research projects on pathologies involving the immune system in an infectious or non-infectious context.