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Un an après les attentats du 13 novembre 2015, Santé publique France, dans le cadre du programme 13-Novembre, a mis en place l'Enquête de santé publique post-attentats de novembre 2015 (ESPA 13 novembre) en direction des civils et intervenants exposés. Parmi les questions posées par l'enquête, se trouve notre question d'intérêt : « Diriez-vous que l'expérience que vous avez vécue vous a changé, d'une manière ou d'une autre ? Pourriez-vous nous expliquer en quoi ? ». Il s'agit de comprendre les changements éprouvés par les civils et les intervenants et de comparer leurs réponses. Une analyse thématique est proposée pour chacun des deux groupes. Les thématiques leurs sont communes mais apparaissent comme qualitativement différentes. L'analyse qualitative est complétée et affinée par des données chiffrées concernant les caractéristiques sociodémographiques des répondants de chaque groupe. Certains répondants (principalement des intervenants hommes) ne ressentent aucun changement. Ils présentent des facteurs de protection spécifiques. Des changements douloureux au niveau relationnel, émotionnel, et psychique impactent surtout la population des femmes civiles. Certains changements prennent malgré tout la forme d'une résilience, voire d'une croissance post-traumatique. Elles supposent un processus de transformation qui passe par une réappropriation de l'existence (pour un quart des civils comme des intervenants) mais aussi par un nouveau rapport au monde (chez les intervenants ayant travaillé dans la nuit du 13 novembre) et à soi (principalement pour les civils, femmes). L'impact des attentats est plus important pour les civils et particulièrement pour les femmes. Le processus de transformation constaté peut conduire à des issues favorables n'évitant cependant pas la souffrance. Il conviendrait de transposer et développer une partie des facteurs de protections repérées chez les intervenants, aux populations civiles. One year after the attacks of November 13, 2015, Santé publique France, within the framework of the 13-November program, set up the Post-Attacks Public Health Survey of November 2015 (ESPA November 13) aimed at exposed civilians and responders. Several open questions are proposed including our question of interest: "Would you say that the experience you have had has changed you, in one way or another? Could you explain to us how? The aim is to understand the effect of attacks on civilians and responders and to compare their responses. A thematic analysis is proposed for each of the two groups. The themes are common to them but appear to be qualitatively different. The qualitative analysis is supplemented and refined by figures concerning the socio-demographic characteristics of the respondents in each group. Some respondents (mainly male workers) do not feel any change. They have specific protective factors. Painful changes at the relational, emotional, and psychic level impact above all female civilians. Some changes take the form of resilience or even post-traumatic growth. They presuppose a process of transformation, which involves a reappropriation of one's existence (for a quarter of civilians and workers alike) but also a new relationship to the world (among workers who worked on the night of November 13) and to oneself (mainly for civilians, women). The impact of the attacks is greater for civilians and particularly women. The process of transformation observed can lead to favorable outcomes that do not, however, avoid suffering. It would be appropriate to transpose some of the protection factors from the responders to the civilian populations. [ABSTRACT FROM AUTHOR]

L'Enquête de Santé publique post-attentats du 13 novembre 2015 (ESPA 13 novembre) est une enquête épidémiologique réalisée par Santé publique France, dans le cadre du programme 13 novembre. Le première phase a été réalisée en 2016. Elle interroge les personnes civiles et les intervenants (professionnels et bénévoles) exposés aux attaques afin d'explorer l'impact post-traumatique des attentats sur leur santé ainsi que leur recours aux soins. L'enquête se présente sous la forme d'une série de questions fermées ainsi que de plusieurs questions ouvertes. Nous exposons ici l'analyse des réponses des civils, rédigées entre 8 et 12 mois après les attentats, à la question spécifique suivante : « Si vous avez des enfants, pouvez-vous nous dire si vous pensez que l'expérience que vous avez vécue a eu un effet sur eux, ou sur la relation avec eux ? Pouvez-vous nous expliquer ? ». Il s'agit de connaître l'impact des attentats sur les enfants des civils exposés et sur les relations parents–enfants, ce qui a été peu étudié dans le cadre d'attentats de masse. Nous avons procédé à une analyse thématique des réponses des civils à la question spécifique concernant leurs enfants, en constituant les thématiques générales par réduction de données. L'analyse thématique laisse apparaître quatre thèmes principaux qui concernent l'impact des attentats sur les relations parents–enfants, les changements vécus dans leur rôle de parent, les réactions des enfants et enfin, la manière dont ils ont tenté de protéger leurs enfants. Quelques mois après les attentats de novembre 2015, une partie des participants à l'enquête mettent en avant les changements psychiques qui se sont opérés chez eux : mal-être, peur du monde extérieur, inquiétude concernant la sécurité de leurs enfants. Ils relèvent d'existence de difficultés chez leurs enfants termes de stress, d'insécurité, de perturbations psychiques jusqu'à l'émergence de véritables troubles. S'ils ont tenté de mobiliser leur fonction de protection de multiples façons, une partie d'entre eux indiquent se sentir impuissant et avoir des difficultés à trouver des espaces de soins adaptés. Les enfants de leur côté peuvent également se montrer très protecteur avec leurs parents. Pour certains, cette inquiétude mutuelle a provoqué un resserrement des liens familiaux qui a pour fonction la réassurance du groupe. Santé publique France carried out a web-based epidemiological survey (ESPA 13 Novembre) between 8 and 12 months after the terrorist attacks of the 13 November 2015. This was done in order to explore the post-traumatic psychological impact of the attacks on the directly exposed civilians and responders as well as their use of healthcare services. The survey took the form of a series of closed-ended questions as well as several open-ended questions. We present here an analysis of the responses of civilians to the following specific question: "If you have children, can you tell us whether you think the experience you went through had an effect on them, or on your relationship with them? Can you explain?". To find out about the impact of the attacks on the children of exposed civilians and on parent–child relationships, something that has never been studied in the context of mass attacks. We carried out a thematic analysis of civilians' responses to this specific question, building up general themes by data reduction. The analyses revealed four main themes which relate to the impact of the exposure to terrorist attacks on parent-child relationships, the changes experienced in their role as parents, their children's reactions and, finally, the ways in which they tried to protect their children. The parents highlighted the psychological changes that operated in them, their unease, their fear of the outside world, and their concern for their children's safety. They discussed the consequences of the attacks on their children in terms of stress, insecurity, psychological disturbances, and even of the emergence of real disorders. The parents have tried to fulfil their protective role in a variety of ways, sometimes with a feeling of powerlessness reinforced for some by the difficulty of finding suitable care spaces. Attachment bonds have, for the most part, tightened in these families demonstrating their reassuring function within the group. It seems essential to care for children, and the family as a whole, alongside their parents, in order to re-establish secure attachment bonds which are a factor in resilience. [ABSTRACT FROM AUTHOR]

Despite the interest in grima during the last years due to its relevance as a culturally specific emotion in Spain, we still lack knowledge about its delineation from the experience of disgust. Applying a combination of deductive and inductive methodologies to the study of grima, it was found that most of the experiences of grima referred to squeaking noises and scratching of surfaces, followed by situations related to the disgust domain of envelope violations. Further, it was also observed that the experiences of grima occurred in a variety of contexts, with the exception of the institutional context, although mainly in the educational context. The theoretical and methodological implications of the present research are discussed. [ABSTRACT FROM AUTHOR]

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La place de l'enfant dans notre société a largement évolué au cours des dernières décennies. Cela s'est traduit par de nombreuses politiques publiques visant à lutter contre les inégalités sociales de santé dès le plus jeune âge. Le soutien à la parentalité est l'une des stratégies mises en place et vise notamment à renforcer les liens d'attachement et à favoriser le développement de l'enfant. La qualité de l'attachement et des interactions parents–enfants est corrélée aux représentations que les parents ont de leurs enfants. L'objectif de l'étude est de rapporter les représentations actuelles des parents sur les nouveau-nés dans la population française en général. Dans le cadre de l'étude PERL, une étude annexe a été menée sur les représentations parentales. Les entretiens ont été réalisés auprès des familles témoins. L'analyse s'est basée sur la méthode des catégories conceptuelles pour faire ressortir les éléments saillants relatifs aux représentations parentales et aux sentiments associés à la parentalité. Parmi les discours analysés, les parents ont construit leurs représentations de leur enfant, dès les 4 mois de l'enfant. Ces représentations identifient l'enfant de 4 mois comme étant capable de faire des choix, d'avoir des préférences, d'agir dans l'environnement et de communiquer avec les autres. De plus, la représentation que les parents ont d'eux-mêmes met en évidence les divers sentiments éprouvés à l'égard de la parentalité, de l'exercice de ce nouveau rôle et des nouveaux comportements parentaux envers l'enfant, suite à la perturbation de l'exercice de la parentalité. Les parents éprouvent également divers sentiments associés à la parentalité, à l'exercice de ce nouveau rôle. The child's place in our society has largely evolved over the past few decades. This has led to numerous public policies to tackle social inequalities in health care from an early age. Parenting support is one of the enhanced strategy actions and aims put in place, in particular, to strengthen the bonds of attachment and promote a child's development. The quality of attachment and parent–child interactions is correlated with parents' representations of their children. The objective of the study is to report current parental representations of newborn children in the French population in general. As part of the PERL study, an ancillary study was conducted on parental representations. The interviews were conducted with the control families. The analysis was based on the method of conceptual categories in order to bring out the salient elements relating to parental representations and feelings associated with parenthood. Among the analyzed discourses, parents have constructed the representations of their child, from the child's age of 4 months. These representations identify the 4-month-old child as being capable of making choices, having preferences, acting in the environment, and communicating with others. In addition, parents' representations of themselves highlighted various feelings experienced concerning parenthood, the exercise of this new role, and the new parental behaviors towards the child, as a result of the disruption of being a parent. Parents also experienced a variety of feelings associated with parenting, parenthood, and their new role. [ABSTRACT FROM AUTHOR]

Copyright of Annales Françaises de Médecine d'Urgence is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Recherche et Applications en Marketing (Sage Publications Inc.) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Environnement, Risques & Santé is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In its seven theses, this article discusses: (a) how different qualitative sociology is from other approaches; (b) the role of 'casing' in generating both units of analysis and settings; (c) the theoretical and empirical work of adjudicating what some emergent phenomena is a case of; (d) the 'modelization' through writing of our case as a research object; (e) the rhetorical construction of causality and the central role of 'puzzles' on it; (f) the reflexive epistemological vigilance about the role of the participant observer in producing the knowledge they generate; and (g) the reconceptualization of qualitative sociology as a type of epistemological package, and of theorization, in consequence, as a kind of practical activity. [ABSTRACT FROM AUTHOR]

Copyright of Social Science Information is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We present the analysis of two biographical narratives by an ex-gangster from the Russian city of Kazan. We address the different times in his life – his childhood, youth, and adulthood, his time on the streets, his decision to leave the gang, and his reflections and memories of his past as reconstructed through these different narratives. We analyze the synchronicity of macro, meso, and micro scales of time in his biography and show how his memory of the time in the gang has dramatically changed between the first and second interviews, as he looked retrospectively on his former self from the vantage point of his current law-abiding life. In our analysis, we use the theoretical and conceptual framework of processual sociology and Bakhtin’s concept of chronotope. [ABSTRACT FROM AUTHOR]

À travers l'étude d'un dispositif d'accompagnement socio-sanitaire soutenant le rétablissement de personnes vivant avec une schizophrénie (PASSVers), cet article propose de montrer l'intérêt d'utiliser la méthode d'analyse lexicale Alceste pour évaluer les activités de promotion de la santé. Des entretiens semi-directifs ont été menés auprès d'usagers accompagnés depuis 12 à 20 mois (n = 21), d'infirmiers et travailleurs sociaux (n = 11) et d'aidants familiaux (n = 6). Le corpus a été analysé à l'aide du logiciel Alceste. Chaque population a utilisé un vocabulaire spécifique pour évaluer le dispositif, traduisant différents points de vue vis-à-vis de celui-ci. La mise en contexte du vocabulaire significativement présent dans les classes de discours a montré un effet du dispositif sur chacun des trois groupes. On observe un changement de positionnement chez les professionnels avec un détachement des considérations purement médicales, ainsi qu'un impact de l'accompagnement sur l'état de santé des usagers et sur le bien-être des proches. L'analyse lexicale apparaît particulièrement appropriée pour évaluer un dispositif de promotion de la santé tel que PASSVers. En effet, cet outil d'aide à l'interprétation d'un corpus se base sur la distribution du vocabulaire, en dehors de tout jugement de l'analyste. Ainsi, cette méthode garantit un cadre méthodologique rigoureux pour déterminer les classes de discours à interpréter. La méthode Alceste permet, par une analyse détaillée du vocabulaire, l'étude rigoureuse d'un corpus. Dans l'évaluation du dispositif PASSVers, elle a permis de mettre en évidence les points de vue spécifiques à chaque groupe, et d'identifier les bénéfices du programme pour chacun d'entre eux. Through the study of a social and health care program supporting the recovery of people living with schizophrenia (PASSVers), this article aims to show the interest of using the Alceste lexical analysis method to evaluate health-promoting activities. Semi-structured interviews were conducted with users supported for 12 to 20 months (n = 21), nurses and social workers (n = 11), and family caregivers (n = 6). The corpus was analyzed using Alceste software. Each population used a specific vocabulary to evaluate the program, reflecting different viewpoints towards it. The contextualization of the vocabulary significantly present in the discourse classes highlighted the program's effects on each of the three groups. We noticed a shift in posture among professionals with a detachment from purely medical concerns, as well as the impact of the support on the health of the users and on the well-being of their relatives. Lexical analysis appeared particularly relevant for evaluating a health promotion program such as PASSVers. Indeed, this tool for interpreting a corpus is based on the distribution of vocabulary, excluding any judgment by the analyst. Thus, this method ensures a rigorous methodological basis for determining the classes of discourse to be interpreted. The Alceste method enables the rigorous study of a corpus through a detailed analysis of the vocabulary. In the evaluation of the PASSVers program, it allowed us to highlight the specific points of view of each group, and to identify the benefits of the program for each of them. [ABSTRACT FROM AUTHOR]

Copyright of Revue des Sciences de l'Education is the property of Revue des Sciences de l'Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care services. This qualitative descriptive study was designed to gain an understanding of older adults' experiences of remote care (telephone or online video conference appointments) for specialized health services during the COVID-19 pandemic. Twenty-one older adults (ages 65 years and older; 8 men and 13 women) living in eastern Canada participated in a semi-structured telephone interview. Data were analysed using qualitative content analysis. The vast majority of older adults were overall satisfied with their remote experiences of specialist care. Advantages to remote care for specialized services included convenience, safety during the pandemic, comfort, efficiency, and ease of visit. Disadvantages included communication not as effective, feeling depersonalized or disembodied, missing the human relationship, and wanting reassurance of physical assessment. It is important that health professionals understand the disadvantages for older adults of remote care visits in order to mitigate them.

Introduction: Physical activity is a major determinant in the prevention of chronic diseases, equally on the side effects of treatments and the consequences of the disease. It improves quality of life, but also reduces morbidity and mortality, and therefore health expenses. A sedentary lifestyle is the fourth cause of premature death in the world, in the context of chronic non-communicable diseases. In France, the prescription for adapted physical activity (APA) has been included in the law since 2016. With the development of "Maisons Sport santé", the Onco'sport program was developed to enable people affected by cancer to participate in adapted physical activity. The objective of our work is to explore the lived experience of cancer patients practicing adapted physical activity as part of the Onco'sport program., Methods: This is a qualitative study of 10 semi-directed individual interviews with patients participating in the Onco'sport program, recruited from the "Maison Sport Santé" from Nîmes and the association "Les Roses du Gard". A phenomenological analysis was carried out with a semiopragmatic approach., Results: For all participants, the APA through a program provides professional supervision of Physical Activity, influences adherence and builds confidence. This program is at the origin of changes in lifestyle habits and improves the relationship with illness and their cancer thanks to the physical and psychological benefits felt. Thus, APA appears as a full-fledged supportive care which requires informing patients and promoting it so that access is facilitated and becomes a standard. Health professionals including general practitioners do not currently have an important place in the promotion of APA, and patients most often obtain documentation on their own or through associations of patient., Conclusion: An APA program like Onco'sport is often the cause of a return to physical activity in patients, brings overall well-being and changes lifestyle habits. It seems important to promote physical activity to patients but also to the general population, given the benefits. This promotion involves easier access to this type of supervised program, financial support and better training of health professionals., (Copyright © 2024 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)

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. Key barriers to anxiety care at each level were resident cognitive impairment or co-morbidities; lack of staff education, staff treatment uptake and implementation; as well as the care delivery environment and access to resources. There is a need to prioritize measurement-based care for anxiety, have increased access to non-pharmacological treatments, and have a care delivery environment that supports anxiety management to improve the care for anxiety that is delivered to residents.

Objective: Our aim in this study was to identify the barriers to following recommendations for postoperative glycemic management among surgical team members., Methods: We conducted semistructured interviews with surgical team members guided by 2 theoretical frameworks for understanding the barriers and drivers of health-care behaviours: the Theoretical Domains Framework and the Consolidated Framework for Implementation Research. Interview data were coded deductively by 2 study team members., Results: Sixteen surgical team members from 7 surgical disciplines at a single hospital participated in this investigation. The most important barriers to management of postoperative hyperglycemia were knowledge of glycemic targets, belief about consequences of hyper- and hypoglycemia, available resources to manage hyperglycemia, adaptability of usual insulin regimens to complex postoperative patients, and skills to initiate insulin., Conclusions: Interventions to reduce postoperative hyperglycemia are unlikely to be effective unless they use implementation science to address local barriers to high-quality management among surgical team members, including setting and systems-level barriers., (Copyright © 2023 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.)

Purpose: Brow ptosis can interfere with blepharoplasty results and can be corrected using several techniques. The present study was performed to compare two techniques for brow suspension, both with concomitant upper eyelid blepharoplasty., Method: A prospective, interventional, randomized study involving 27 female patients was performed to compare the effects of two different techniques of brow suspension: eyebrow suspension with nylon thread (ESN) and internal browpexy fixation (IBF), both combined with upper lid blepharoplasty. Qualitative assessment was carried out using a questionnaire, and quantitative angular measurement analysis of the brow position was performed using digital photographs taken with a Vectra H1 camera before, 60, and 120 days after surgery. The data were transferred to an Excel table and statistically analyzed., Results: ESN was performed in 14 patients and IBF in 13 patients. Both groups were homogeneous in terms of age. The main preoperative complaints were excess skin on the upper eyelid (81.4%) and reduced visual field (59.2%) in both groups. Most of the patients expected aesthetic improvement, and the surgical results were considered satisfactory for all of them. There was no significant difference between ESN and IBF in the quantitative evaluation of eyebrow position., Conclusion: Both ESN and IBF resulted in a high degree of patient satisfaction. Both techniques provided similar brow suspension, emphasizing that IBF is technically easier to perform and produces less scarring., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Introduction: The announcement of the cessation of cancer treatments is a moment unanimously recognized as difficult for oncologists. More rarely analyzed, the announcement of a transfer to palliative care units is just as much. However, understanding the experience of oncologists during this announcement could make it possible to optimize it., Materials and Methods: Qualitative, prospective, monocentric study with medical oncologists. Semi-structured interviews with 7 open questions., Results and Discussion: Twelve interviews were conducted with a sex ratio of seven women for five men and an average age of 41.9 years. Six themes emerge after horizontal analysis of the verbatim and triangulation of the data. The experience of oncologists is dominated by a feeling of guilt, of fear of causing death anxiety in the patient, and of failure and helplessness in in front of a short-term vital risk. There is also a feeling of frustration at not being able to go through with the care. Facing the escape of the disease, oncologists feel resigned. We also observe projections on the part of oncologists with patients and paramedics. Finally, the existential question of death is an omnipresent concern with the feeling of abandoning the patient and a questioning of skills. However, it seems that the collaboration with the mobile palliative care team (EMSP) and the prospect of creating an internal palliative care unit (USP) at the center are perceived as a help., (Copyright © 2022. Published by Elsevier Masson SAS.)

Objectives: Launched in 2011 by the Public Health Agency of Canada, the Canadian Diabetes Risk Questionnaire (CANRISK) is a self-assessment tool validated in a Canadian sample, but its uptake has never been assessed. We sought to determine the level of current use of the CANRISK tool, identify common facilitators and barriers to its use and recommend future improvements., Methods: Ten professional allied health organizations across Canada were contacted for in-depth interviews. Contextual content and thematic analysis were used to analyze the qualitative data set., Results: According to allied health professionals, the tool is widely used, appealing and needed, and is being used for risk screening and health promotion. Respondents also identified the need to provide support and next steps for users identified as high risk. Still, several barriers to implementation were found, including readability, offensive or confusing language and difficulty ascertaining body measurements., Conclusions: The CANRISK is a valuable diabetes risk assessment tool in Canada, particularly for allied health organizations., (Crown Copyright © 2021. Published by Elsevier Inc. All rights reserved.)