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Copyright of Revue de Psychoéducation is the property of La revue canadienne de psycho-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.)

With the goal of better understanding some of the psychological factors related to refugees’ desire to return home, surveys were administered to 235 South Sudanese refugees living in the Kakuma Refugee Camp in Kenya. Respondents were asked about how much they wanted to return to Sudan, their emotional reactions about returning, their views on the prospects for peace, their expectations regarding how they would be received upon return, and their concerns about specific challenges they might face. In addition, they completed an inventory measuring their personal beliefs about issues in five domains: vulnerability, injustice, distrust, superiority, and helplessness in regard to prospective returnees to Sudan. A large majority was very eager to repatriate. Individual differences in attitudes toward returning were significantly linked to the strength of their beliefs in the five domains. Stronger beliefs about vulnerability, injustice, distrust, and helplessness were associated with more negative perceptions of return, while a stronger belief about returnee superiority was correlated with a more favourable perspective on repatriation.

Acknowledging the high exposure of the region to natural and man-made disasters, this article emphasizes the need for the Institutions of Higher Education operating in the Caribbean to improve their level of preparedness and develop efficient mitigation plans. Based on their experience of the Disaster Resistant Universities initiative, the authors suggest a methodology to develop such plans adapted to the Caribbean context. A four-step risk assessment allows the definition and implementation of a hazard mitigation plan for the universities, along with table-top exercises critical for capacity building within the institution.

Copyright of Périnatalité 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.)

Summary: Background: Studies on infant outcomes of opiate-dependent pregnant women find a high rate of premature mother–child separation and to a lesser extent developmental delay. The specific role of in utero heroin exposure in the determination of the developmental outcome seems to be less important than the home environment. Objective: Describe the health and development of 5-year-old children whose drug-addict mothers allowed an early multidisciplinary intervention (medical and psychological) in the maternity hospital and neonatology. Patients and methods: Thirty-seven children (62% of the initial cohort) were seen in consultation with their parents. Growth and development was compared with a control group of 374 children of the same age. Comparisons were made between the children''s and parents’ state (social, medical, drug addiction, etc.) upon discharge from the maternity hospital and 5years later. A study was conducted on those lost to follow-up. Results: The rate of placement in 5years was very low (13%). Seven children showed a developmental delay, 21 no disorder, and nine some problems. Anxiety (37%) and overweight (48%) were the only disorders differentiating them from the control group. Compliance with the care provided in the maternity hospital was the only item significantly related to the development of the 5-year-old children (P =0.05). Discussion: The hypothesis of an attachment disorder in those with the greatest need is raised. The likely relations between the quality of the care in the maternity hospital, mother–child relations, and the attrition of the cohort are also discussed. Conclusion: Management of the symptoms as well as social and psychological care during pregnancy and neonatal hospitalization for opiate-dependent pregnant women facilitates a long-lasting relation with childhood professionals, avoids court-ordered placements, and reduces the appearance of developmental disorders in these children. [ABSTRACT FROM AUTHOR]

Abstract: Objective of the study: Descriptive study of the modalities of support of children presenting a progressive chronic disease. Patients and methods: Analysis of follow-up of children and their families, and supervision of a team from the Association Française contre les Myopathies (AFM): comparison with studies on management of children with a non-progressive handicap. Results: The low incidence and prognosis of these diseases imposes a special type of support by medical-social teams, which are more and more often implicated in follow-up of these pathologies. The question of the outcome, which is often lethal, imposes different adaptations by these affected families than by those affected by non-progressive handicaps. To counteract the idea that each minute which goes by is equivalent to one minute less of life, the parents will “parcelize” time into artificial phases from which they will distill the life. This process contains the invasive anguish of the parents, and permits the child to construct a self-image which will suffice, during adolescence and adulthood, to authorize him/her to take control of his own life. From observations of the evolution of Duchenne muscular dystrophy, examples of the content of these parcelizations are presented, as well as the role of professionals and the impact on the child. Conclusion: The containment role of the professionals (respect for the temporal parcelization process, sustained attention to successive teams, to communication between professionals) supports the families in a personalized care network adapted to their needs. Its psychotherapeutic effect is evident and powerful, not only for the parents but also for the child. [Copyright &y& Elsevier]

Copyright of Sante Mentale au Quebec is the property of Revue Sante Mentale au Quebec 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 Canadian Society for Exercise Physiology (CSEP), in partnership with Health Canada and others, released Canada’s first physical activity guide for adults in 1998, with specific versions for older adults in 1999 and for children and youth in 2002. Research in the physical activity sciences (e.g., basic science, behavioural assessment, dose-response relationships, epidemiology, health messaging, physical activity measurement) has advanced rapidly since these publications. A detailed review of relevant current research is thus required, to assess whether the existing guidelines and resulting guides need revision or renewal. This introductory paper provides a brief chronology of events leading to the preparation of this journal supplement, including a statement of purpose and an overview of organization and content. A brief discussion of the purpose of the physical activity guidelines and guides, intended biological, psychological, and behavioural outcomes, and the way in which guidelines relate to on-going measurement and surveillance is provided as a context for the papers that follow. [ABSTRACT FROM AUTHOR]

This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages and of related evaluations are underlined. Recommendations on how to proceed are based on the evidence base provided by this series of papers; the immediate next steps mandated by this initiative are outlined and priorities for future research are indicated. [ABSTRACT FROM AUTHOR]

Copyright of Applied Physiology, Nutrition & Metabolism is the property of Canadian Science Publishing 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.)

Relapse after allogeneic hematopoietic cell transplantation (allo-HCT) remains a major concern because it is associated with poor survival. A second allo-HCT is a valid option in this situation. During the 13th annual harmonization workshops of the francophone Society of bone marrow transplantation and cellular therapy (SFGM-TC), a designated working group reviewed the literature in order to update the second allo-HCT recommendations elaborated during the previous workshop (2016). The main indication for a second allo-HCT remains relapse of initial hematologic malignancy. Disease status; complete remission (CR), and relapse time after the first allo-HCT>6 months impact positively the overall survival of patients after the second allo-HCT. Donor change is a valid option, particularly if there is HLA loss on leukemic cells after a first haploidentical or following a mismatched allo-HCT is documented. Reduced intensity conditioning is recommended, while a sequential protocol is a reasonable option in patients with proliferative disease. A post-transplant maintenance strategy after hematological recovery is recommended as soon as day 60, even if the immunosuppressive treatment has not yet been stopped. Hypomethylating agents, and targeted therapies such as anti FLT3, anti BCL2, anti-IDH1/2, TKI, anti-TP53, anti-CD33, anti-CD19, anti-CD22, anti-CD30, check point inhibitors, and CAR-T cells can be used as a bridge to transplant or as an alternative treatment to the second allo-HCT., (Copyright © 2023 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)

Les difficultés cognitives consécutives aux troubles neurocognitifs majeurs (TNCM) engendrent des enjeux dans la réalisation d'activités de la vie quotidienne. Ce projet visait à identifier auprès des proches aidants et des intervenants des situations nécessitant des méthodes optimisant l'apprentissage pour faciliter l'engagement de personnes vivant avec un TNCM dans leurs activités de la vie quotidienne. Des entrevues individuelles semi-dirigées, d'une durée de 60 à 90 minutes, ont été menées auprès de proches aidants et d'intervenants. Les résultats montrent que les activités quotidiennes et domestiques sont notamment affectées par les difficultés à repérer ou à utiliser les objets, à garder en tête la tâche en cours, à mettre en séquences des étapes, à ne pas se laisser distraire par autre chose et à constater ses difficultés pour s'y adapter. Les proches aidants souhaitent du soutien dans l'application des méthodes optimisant l'apprentissage pour contribuer au maintien de l'autonomie des personnes vivant avec un TNCM.

In this article, we discuss again the definition, the risk factor and guideline to treat the graft failure, the poor graft function and erythrobalstopenia. Graft failure is a severe but rare complication after hematopoietic cell transplantation (HCT). Despite disparity in the literature, we defined this complication and discussed the factor risks and recommendation for treatment based on new studies. Poor graft function is also a more frequent complication after HCT. New studies will soon be available to prove or not the current recommendation suggested in this article based on therapeutics medicine or cellular therapy. Erythroblastopenia, is a rarer complication post HCT. Despite anticipation for a better choice of compatibility donor/recipient, some patients still suffer from this complication., (Copyright © 2022 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)

The shock of reality expresses a dissonance between reality what was imagined about the labor world. It is part of the integration process of new nurses that join a health care setting for the first time. This major step, related to the first work experience, places recruits in a state of vulnerability in their new profession. While several retirements are expected among baby boomers, finding solutions to ease the transition to the professional role among younger nurses is crucial. This narrative literature review attempts to answer the following questions : What characterizes the reality shock among new nurses in a context of role transition from student to professional ? CINAHL and MEDLINE databases were consulted in addition to reports issued by the OIIQ. Preceptorship programs providing working conditions that reflect the needs of the new generation of workers, as well as realistic expectations, seem to reduce the impact of the shock of reality.