Search

Type 1 diabetes has an impact not only on physical health, but also on social life, family life and psychological balance. Social networks play a decisive role, alongside associations, in helping patients to adopt the "other pace of life" implied by the disease. Beyond health, the skills needed to enable patients to achieve personal fulfillment are beyond the scope of healthcare professionals. Peer communities are an invaluable contribution to building this life with diabetes., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In the face of climate change, Health is mobilizing to find solutions and reduce its environmental impact. The CAP (understand, act and share) sustainable hospital toolbox cited in the roadmap for the Ecological Planning of the French Health System offers 3 original, operational and complementary tools to: (1) acculturate professionals in the sector (Plan Health Faire®), (2) build the establishment strategy (2030 Agenda), and (3) take action with healthcare professionals (The Sustainable Units program)., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Rationale: On the occasion of the General stage meeting of Internal Medicine, the National College of Internal Medicine Teachers (CEMI) conducted a survey on teaching activity among all French university hospital (HU) internal medicine specialists., Method: The survey was carried out in September 2023 by sending an email to 101 hospital practitioners university professors (PU-PH) and 18 hospital practitioners assistant professors (MCU-PH) of internal medicine in subsection 53-01 of the National council of universities (CNU), as well as to the 11 HU internists working in immunology (subsection 47-01) or therapeutics (subsection 48-04)., Results: Seventy-three HUs (56.1%) responded to the survey, including 65 PU-PH, 7 MCU-PH and 1 university hospital practitioner (PHU). Internal medicine HUs participate in faculty teaching: 80% are responsible for teaching, 30% are responsible for the year or cycle or lead committees and 40% have had or have an elected mandate at the faculty or at university. Internal medicine HU are involved in the teaching of semiology during the first cycle of medical studies, but also in pharmaceutical sciences, dentistry, midwifery and in paramedical training. They are very invested in the implementation of the second cycle reform and 80% are involved in the preparation of Objective Structured Clinical Examinations (ECOS), mainly as examiners (90%). They also participate in teaching using simulation (60%), teaching advanced practice nurses (IPA) (25%), and writing CEMI books (75%). For ECOS, 90% participate as examiners, 60% participate in teaching using simulation, 25% are involved in teaching advanced practice nurses (IPA), 75% participated in the writing of CEMI works. Eight (12%) internal medicine HUs co-facilitate training with patients and 26 (38%) participate in master's courses at the Faculty of Sciences. Finally, 94% are affiliated with a research unit and 48% supervise university theses students., Conclusion: Internal medicine universities teachers have a strong educational commitment, particularly in semiology and in the reform of the second cycle of medical studies with ECOS and simulation., (Copyright © 2024 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.)

Objective: Short-term outcomes of deep brain stimulation of the anterior nucleus of the thalamus (ANT-DBS) were reported for people with drug-resistant focal epilepsy (PwE). Because long-term data are still scarce, the Medtronic Registry for Epilepsy (MORE) evaluated clinical routine application of ANT-DBS., Methods: In this multicenter registry, PwE with ANT-DBS were followed up for safety, efficacy, and battery longevity. Follow-up ended after 5 years or upon study closure. Clinical characteristics and stimulation settings were compared between PwE with no benefit, improvers, and responders, that is, PwE with average monthly seizure frequency reduction rates of ≥50%., Results: Of 170 eligible PwE, 104, 62, and 49 completed the 3-, 4-, and 5-year follow-up, respectively. Most discontinuations (68%) were due to planned study closure as follow-up beyond 2 years was optional. The 5-year follow-up cohort had a median seizure frequency reduction from 16 per month at baseline to 7.9 per month at 5-year follow-up (p < .001), with most-pronounced effects on focal-to-bilateral tonic-clonic seizures (n = 15, 77% reduction, p = .008). At last follow-up (median 3.5 years), 41% (69/170) of PwE were responders. Unifocal epilepsy (p = .035) and a negative history of epilepsy surgery (p = .002) were associated with larger average monthly seizure frequency reductions. Stimulation settings did not differ between response groups. In 179 implanted PwE, DBS-related adverse events (AEs, n = 225) and serious AEs (n = 75) included deterioration in epilepsy or seizure frequency/severity/type (33; 14 serious), memory/cognitive impairment (29; 3 serious), and depression (13; 4 serious). Five deaths occurred (none were ANT-DBS related). Most AEs (76.3%) manifested within the first 2 years after implantation. Activa PC depletion (n = 37) occurred on average after 45 months., Significance: MORE provides further evidence for the long-term application of ANT-DBS in clinical routine practice. Although clinical benefits increased over time, side effects occurred mainly during the first 2 years. Identified outcome modifiers can help inform PwE selection and management., (© 2024 Medtronic and The Author(s). Epilepsia published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.)

Cooperation protocols enable healthcare professionals to work together to meet patients' needs. One of the challenges of these protocols is to offer a wider range of care by reducing the time taken to access care, while also optimising the patient's pathway. Four cooperation protocols have been validated for emergency services., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

At a medical-psychological center, a therapeutic program based on relaxation and mindfulness meditation sessions is offered to people suffering from chronic insomnia referred by the center's psychiatrists, psychologists and advanced practice nurse. This treatment, which can be complementary to ongoing medication, is an alternative to pharmacological approaches., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Our contemporary lifestyles offer little incentive to be physically active, and give us far fewer opportunities to be active than in the past, with many of our tasks being sedentary and most of our transport being motorized. While it's easy to acknowledge a lack of physical activity, putting it into practice is eminently more complex, and many researchers are trying to answer the thorny question: how can we enable people to be more physically active in their daily lives? With this in mind, the aim of this article is to show that active transport is an effective way of getting sedentary people to engage in regular physical activity., (Copyright © 2024. Publié par Elsevier Masson SAS.)

Some jobs, particularly in the service sector, involve little physical activity on the part of employees. To improve their health, several areas or periods could be used to increase the amount of daily physical activity. Active transport to and from work is one such initiative, but physical activity can also be envisaged outside and during working hours. The aim of this article is to provide insights and research perspectives to better measure the importance of physical activity in the workplace., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Due to intensive physical training, and the pressure exerted by coaches, parents and the athlete him/herself during pre-competitive and competitive periods, a large number of high-level sporting activities can trigger or participate in anorexia nervosa. That said, some of these activities are more likely than others to promote this eating disorder. It is worth highlighting the sports most at risk for the onset or development of anorexia nervosa, and then addressing the means of prevention and regulation adapted to these circumstances., (Copyright © 2023. Published by Elsevier Masson SAS.)

Although eating disorders are a public health issue, treating anorexia nervosa from a demographic and socio-economic perspective remains a challenge. Data are scarce, patchy and often of questionable quality. Such a lack of data on a somatopsychic illness with serious repercussions is a real problem, since reliable, longitudinal and detailed information could provide additional answers in understanding the illness, both in terms of age, sex and gender structure, and in terms of family, social and environmental factors., (Copyright © 2023. Published by Elsevier Masson SAS.)

Present in all social circles with proven effects on health, alcohol is the second leading cause of avoidable death after tobacco. Like men, women can be affected by alcohol misuse, or even addiction. As the female organism is more vulnerable to the deleterious effects of alcohol, women are particularly exposed in terms of risks and complications for their physical and mental health., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

At the same level of consumption as men, specific vulnerabilities often expose women to the more rapid onset of more serious illnesses (cardiovascular and liver diseases, cancers, brain and cognitive damage, sleep disorders, risk of accidents, etc.). This worrying fact is still little known by the general population. Special prevention measures are needed, such as dedicated campaigns for women, specific guidelines for lower-risk drinking, systematic early detection of risky drinking among women, and brief intervention in the event of problem drinking., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The literature documenting the positive role of adapted physical activities (APA) in academic success is flourishing. It's widely accepted that practicing APA helps you succeed. However, the pathway linking the impact of physical activity on student health to academic success remains unclear, and there is still a great deal of ground to cover. With this in mind, the aim of this article is to review what is known about the health benefits of physical activity and the psychological factors involved in learning in the school and university context., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Un nombre croissant de jeunes s'identifient comme transgenres ou de diverses identités de genre. De nombreux pédiatres et dispensateurs de soins de première ligne accueilleront cette population dans leur pratique, dans le cadre de soins liés au genre ou de soins de santé généraux. Le présent document de principes se veut une ressource pour orienter les pédiatres et les dispensateurs de soins de première ligne à adopter une approche d'affirmation pour la prestation des soins réguliers à tous les jeunes. De plus, il contient de l'information visant à aider les dispensateurs à répondre aux demandes de conseils des jeunes transgenres et de diverses identités de genre et de leur famille au sujet des possibilités de transition médicale et d'orientation vers des services spécialisés s'ils le désirent et le jugent pertinent. Enfin, on anticipe que la demande de soins d'affirmation de genre continue d'augmenter, et certains dispensateurs de soins peuvent souhaiter acquérir les connaissances et les habiletés nécessaires pour amorcer les inhibiteurs d'hormones et les hormones d'affirmation de genre chez les adolescents. Le présent document ne contient pas de directives cliniques, mais de l'information fondamentale au sujet des divers éléments possibles des soins d'affirmation de genre, tout en reconnaissant que les besoins et les objectifs d'adolescents particuliers n'incluent pas automatiquement de telles interventions. D'autres ressources permettant d'acquérir les compétences nécessaires pour offrir des interventions d'affirmation de genre sont également proposées., (© Société canadienne de pédiatrie 2023. Publié par Oxford University Press pour le compte de la Société canadienne de pédiatrie. Tous droits réservés. Pour obtenir une autorisation, écrivez à journals.permissions@oup.com.)

The management and support of dependency is an area of expertise deployed within care facilities and medico-social establishments. At home, however, the needs are equally great, with a high risk of caregiver burnout. A nurse working in the Occitanie region of France shares her experience of implementing a cooperation protocol entitled "Intervention of liberal nurses in the home to diagnose and initiate care for frail elderly subjects"., (Copyright © 2023. Publié par Elsevier Masson SAS.)

The academic success and well-being of young people can be undermined by the use of psychoactive substances (PAS), which is particularly prevalent during adolescence, a period vulnerable to social influences. This article is aimed in particular at school and university preventive medicine nurses. It proposes intervention strategies for adolescents who regularly use such substances. Based on the scientific literature, the aim is to examine how psychological support, coupled with a program of adapted physical activity, could limit the use of APS, a factor in academic failure and health risks., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Purpose: To examine the temporal stability and relative validity of the adapted French version of an English self-reported questionnaire measuring the beverage intake (BEVQ) of adolescents. Methods: The French adaptation of the BEVQ (AF-BEVQ) included conversion from the imperial to the metric system and the adjustment of some formats to those available in Canada. Next, 60 adolescents from two regions in Quebec completed the AF-BEVQ and two web-based 24-hour dietary recalls (R24W) (one for a weekday and one for a weekend day) on two occasions, two weeks apart. Results: The AF-BEVQ had moderate intraclass correlation coefficients (ICC) for amounts of sugar-sweetened beverages (ICC: 0.68; 95% confidence interval [CI]: 0.46-0.81), fruit juice (ICC: 0.54; 95% CI: 0.23-0.72) and water (ICC: 0.66; 95% CI: 0.38-0.81) consumed. The amounts of sugar-sweetened beverages (r s = 0.49; p  < 0.0001), fruit juice (r s = 0.38; p = 0.0024) and water (r s = 0.65; p  < 0.0001) reported in the AF-BEVQ were significantly correlated with those of both R24Ws. Conclusions: For the most part, the AF-BEVQ had adequate metrological properties. It is an interesting tool to quickly measure the sugar-sweetened beverage, fruit juice and water intake of French-speaking adolescents.

Introduction: This study aimed to describe equine transportation practices and transport-related behavioural and health problems in Switzerland and to identify possible associations between them. An online survey was disseminated to Swiss equine industry members and questioned respondents' details, transport practices (before, during, and after journeys), horse transport-related behavioural (TRPBs) and health problems (TRHPs) experienced in the previous 2 years. The survey generated 441 valid responses, analysed using descriptive statistics and logistic regression models (outcomes: TRPBs, TRHPs, injuries, diarrhea). Respondents were mainly women (79,5 %), younger than 50 years (75 %), and amateurs (80 %). Most of the respondents transported one or two horses (88,7 %), for a short (< 2 hours) journey (75,5 %). Pre-transport practices were performed by 72,1 % of respondents and horses' fitness for travel was assessed in the majority of cases (66,5 %). During the journey, horses were tethered (92,6 %) and monitored (52,7 %). The majority of respondents (74,9 %) assessed also the horses' fitness after travel. TRPBs were reported by 13,4 % of respondents. TRPBs' likelihood increased when the respondents were women, performed pre-transport practices and training for transport, did not assess drinking behaviour and general health before journey, and the horses experienced also TRHPs. TRHPs were reported by 34 % of the respondents and were associated with younger respondents, use of trucks, doing pre-transport practices, wearing protections, not monitoring horses during transport and preexisting TRPBs. Among TRHPs the most frequent were injuries (72,1 %) and diarrhea (41 %). The likelihood of injuries increased with younger respondents, use of trucks, wearing protections, lack of monitoring during transport and TRPBs. While younger respondents, longer journeys, wearing protections, lack of monitoring during transport, measuring rectal temperature after journeys and TRPBs increased the odds of reporting diarrhea. Even though our findings must be interpreted with caution due to survey limitations, considering that the found associations do not always mean causation, they highlight the strengths and weaknesses of transport practices in Switzerland and report evidence to implement current regulations on the protection of horse welfare during transport.

Self-handicapping strategies consist of creating or declaring obstacles to oneself before a situation of accomplishment that threatens the self, as might be the case during an academic assessment or a sporting competition, in order to protect oneself from a possible failure or to valorise oneself in the event of success. It turns out that beyond the physiological effects sought and the dependence linked to the product, the consumption of psychoactive substances can serve as an excuse for users in the event of failure, thus protecting their sense of competence or enhancing it in the event of success, for having succeeded in spite of their consumption, which is known to have a negative impact on performance., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Patient associations bring many benefits to people suffering from obesity. What's more, through their actions, these associations contribute to the recognition of obesity as a pathology., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Experimentation with psychoactive substances (PAS), such as alcohol, tobacco or cannabis, is common in adolescence, and continues to pose a public health issue that can lead to failure at school and university. Most of the work on these issues focuses on addiction-related aspects, and little on the underlying causes of addiction. This article sheds psycho-social theoretical light on the causes of first-time use of APS, and cannabis in particular. It is particularly aimed at school nurses and university preventive medicine nurses., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Adapted physical activities (APA) in the workplace improve workers' health. Paradoxically, APA remains marginal in the very places where improving health is the central objective of health care workers, namely clinics and hospitals. Promoting physical activity in the workplace is a twofold challenge. Not only does PA improve the health and well-being of caregivers, but it also allows them to be more effective in their daily work with patients., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Changes in nursing education are closely linked to changes in the health care system. The nursing profession must indeed continue to occupy a pivotal position within the health system and its representatives must be able to continue their studies to complement their nursing skills with other disciplines. This will require the issuance of a "real" nursing degree by the university and the updating of the students' referential, so that it is consistent with the development of the profession and the work in interprofessionality., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Ultra-processed foods (UPFs) have become a major contributor to the diets of Canadians, with a recent report from Statistics Canada suggesting Canadians are consuming almost one-half of their calories from UPFs. Research has linked UPF consumption with increased risk for chronic diseases such as cardiovascular disease and type 2 diabetes, among others. This paper sought to investigate the popularity of UPFs, particularly among children and teens, utilizing the socioecological model as a framework to illustrate how influences at multiple levels (i.e., public policy, organizational, community, interpersonal, and individual) have played a role in the proliferation of UPFs. Evidence from previous studies is used to identify how factors at different levels may influence UPF consumption and discuss potential strategies for reducing UPF consumption. To meaningfully reduce UPF consumption among Canadians, all levels should be considered, with the goal of creating a healthier Canadian population.

The issue of trans minors is becoming more and more important as a new issue of care, especially in the health field. The nursing world is no stranger to these requests for support, at school or in specialized centers. This is why, through this article, it seemed necessary to go back over some definitions and to deconstruct some prejudices concerning this population., (Copyright © 2023. Publié par Elsevier Masson SAS.)

The relationship between human immunodeficiency virus (HIV) infection and male circumcision, medical or traditional, remains controversial. Randomized clinical trials indicate that medical circumcision reduces the incidence in the months following surgery. But population-based studies show that the prevalence is the same over the long term. This paper summarizes the results of large population-based surveys conducted in southern African countries, the region most affected by AIDS worldwide. These surveys show that HIV prevalence among men aged 40-59 years is the same regardless of circumcision status and type. These results call into question the recommendations of the World Health Organization., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Precariousness (social, health, professional, financial, energy, etc.) affects women more than men. This has consequences for their access to healthcare. Raising awareness of gender inequalities and mobilizing actors to fight against them, make visible the levers to fight against the increase of women's precariousness., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The hospital in Nanterre (92) offers a wide range of services for the reception, orientation and medical care of people in precarious situations on a daily basis, both in the social medicine department and in other departments. The medical teams wanted to create a structure that could document and analyze the life trajectories and experiences of people in precarious situations, but above all innovate, propose adapted systems and evaluate them, in order to develop knowledge and practices. The hospital foundation for research on precariousness and social exclusion was thus created at the end of 2019 [1], with the structuring support of the Île-de-France regional health agency., (Copyright © 2023. Publié par Elsevier Masson SAS.)

Social participation has tremendous implications for the physical and mental health of older adults. A growing body of Canadian literature has examined social participation among older adults, including frequency of participation; gender, age, and regional differences in participation; and associations with self-perceived health, loneliness, and life dissatisfaction. The current study adds to this important body of research, using a large, nationally representative sample of adults 45-85 years of age (Canadian Longitudinal Study on Aging [CLSA] baseline data [ n = 51,338]), to examine nuanced characteristics associated with social participation (socio-demographics, social support, cognitive ability, mental health, physical conditions), frequency of participation, and the relationship between the aforementioned characteristics and frequency of participation. Findings indicated that compared with those who reported infrequent/no participation, more frequent participation was associated with greater social support, higher cognitive abilities, increased satisfaction with life, fewer depressive symptoms, reduced odds of self-reported mood and anxiety disorders, and fewer self-reported physical conditions. Findings highlight the importance of active social participation, and have important implications for the development and implementation of accessible community programs across Canada.

The prison population in France is mostly composed of young but aging men, in relatively good health but vulnerable. In order to ensure optimal health care for this population, several levels of health care organization - somatic and psychiatric - have been set up since 1994. The different structures created since then allow incarcerated patients to benefit from care adapted to their particular conditions., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

The intensive psychiatric care units are intermediate health structures between the sector psychiatric services and the units for difficult patients. Prisoners can be treated there under article D. 398 of the Code of Criminal Procedure., (Copyright © 2022. Published by Elsevier Masson SAS.)

The poor state of health of some prisoners, the tensions and violence that can exist in prisons lead the administration's staff to work in a sometimes difficult context. The regular practice of adapted physical activities appears to be a particularly opportune course of action for the agents concerned: it would bring them physical and psychological benefits in their professional exercise., (Copyright © 2022. Published by Elsevier Masson SAS.)

In France, on the 1 st  march 2022, 656 underage persons are in prison. They have more psychiatric and substance use disorders compared to the juveniles in the general population. In prison, health care is organized according to three levels. A global and partnership approach is promoted. The main objectives are prevention, risk reduction and continuity of care., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Since the publication of the law of 18 January 1994, health care for detainees has been entrusted to public health establishments, and no longer to the prison administration. This is a real step forward insofar as individuals placed in the hands of justice now benefit from care provided by health professionals, who officiate within health units in prisons. Today, these professionals work in particular to promote preventive and health promotion actions, thereby helping to restore the detainee's place as a subject with a view to reintegrating him or her into the community., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

The World Health Organization defines domestic violence as the deliberate use of force, power, threats, against a person or group of people, which may result in death or physical injury. As such, it usually results in physical, economic, psychological, sexual or emotional harm. This study assessed the prevalence and contributing factors of domestic violence among women and children in South Africa to better understand the factors surrounding domestic violence using the 2016 Demographic and Health Survey. Because domestic violence is a public health issue, nurses play a central role in prevention and post-trauma care, including within emergency and psychiatric services., (Copyright © 2022. Publié par Elsevier Masson SAS.)

In France, the health of trans minors remains a sensitive and too often invisible subject, leaving a population marked by great vulnerability on the margins of health services. It is therefore particularly interesting to highlight the medical issues related to this population, the psychological risks related to transphobia and the questions related to hormonal treatments at the heart of current controversies., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

A prominent demographic trend throughout the industrialized world is population aging. Concerns about economic growth and labour force shortages have led many European nations to enact policies aimed at prolonging working life. Understanding how paid work among late-middle-aged and senior adults is associated with health is therefore important. Using a sample of persons who were 50-75 years of age in 2015 from waves six (2015) and seven (2017) of the Survey of Health, Ageing and Retirement in Europe ( n = 38,884), this study shows how a comprehensive set of six workforce involvement/transitions patterns are associated with health. The results show benefits of paid work, especially among respondents having financial difficulties. There is further heterogeneity by gender. The more fragmented employment histories of 50-75-year-old women are associated with stable paid work being of less benefit for addressing financial difficulties and with their health being especially vulnerable to unemployment while they are undergoing financial troubles.

Intersectionality, a theory for understanding women's health issue. Intersectionality offers the possibility of holistic analyzes to understand and act on women's health issue. It facilitates the exploration of the different dimensions of social inequalities in health, which are both at the level of institutions and of the individual experiences of people who live at the intersection of multiple dimensions of domination and power., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Jewish spirituality in its principles, its means and its practice offers the possibilities to cope with sickness, suffering and more broadly with the human condition., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Spirituality in health care in the sense of the Muslim tradition requires inspiration from The Medicine of the Prophet, written by Jalâl ad-Din as-Suyûtî in the 15th century. A work in line with the principles of the Hippocratic oath. It consists in restoring, preserving or promoting health in all its elements, physical and mental, individual and social., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Spirituality is a health protection factor recognised in the scientific literature. However, few studies have evaluated its impact on French-speaking populations, in secularised societies and even fewer in the context of a pandemic. It is therefore interesting to highlight significant relationships between spiritual quality of life and health., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Western discourses around food (in)security and nutrition often focus on food access primarily through male-driven efforts. In turn, the gendered dimension is missing. Yet Indigenous food systems cannot be fully understood without Indigenous women's worldview, challenges, and labour. Our critique points to the importance of centring Indigenous women's embodied knowledge systems in our food related research. Novelty: Rematriating food research regenerates the complexities of kinship wellbeing, sustainable economies, and body sovereignty.

Healthcare professionals have a role to play in reducing micropollutant emissions from healthcare products at source. A survey was conducted on the practices of homecare workers, particularly on the management of drug residues and the recovery of excreta (urine and faeces). There are obstacles, but also levers to protect biodiversity from the toxicity of healthcare waste., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

The deployment of adapted physical activity (APA) teaching within universities has enabled the development of research work in this field. The challenge is to demonstrate the effectiveness of APA interventions on health with scientific evidence. Close collaborations are thus established with health institutions and organisations., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

In the department of Val-de-Marne, the Mother and Child Protection is characterised by a global approach to health, special accessibility of its services, multi-disciplinarity and the expertise of its teams. It is based on the concept of proportionate universalism and devotes a special place to partnership arrangements. Its working dynamics are based on the methodology of the project system: it is a question of co-construction, activating transversality while advocating participatory democracy. The working dynamics are, therefore, diversified., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

Domestic violence has numerous consequences on the victims' health. Supporting these victims means firstly being able to recognise the warning signs. Tools exist to facilitate the role of health professionals on the front line to screen for domestic violence and identify with the victims the gravity of their situation. Depending on the risks involved, it is sometimes important to let them make their own enlightened choices to help them regain confidence and independence., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

The contamination of water and natural environments by micropollutants linked to residues from health care activities (drugs, detergents, parapharmaceuticals, etc.) generates invisible, silent and alarming levels of pollution for the living world. The management of these phenomena is potentially a public health issue. It is necessary to raise awareness among caregivers in order to develop strategies for reducing pollution at the site, compatible with the multiple constraints of their care activities., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)