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Background/objectives: Cancer patients often experience psychological and physical symptoms that can significantly impact their quality of life and treatment outcomes. Virtual reality (VR) has emerged as a promising complementary approach to standard cancer care. Due to the rapidly evolving nature of VR research in oncology, it seems essential to provide an overview of the current state of knowledge in this field. Therefore, this umbrella review aimed to synthesize evidence from all relevant systematic reviews and meta-analyses on VR-based interventions for improving psychological and physical well-being among cancer patients., Methods: A comprehensive search was conducted in four databases (Cochrane Database of Systematic Reviews, Medline, Web of Science, PsycInfo) from inception to August 2023. We included systematic reviews with or without meta-analyses that evaluated the effects of VR-based interventions on any health-related outcomes in cancer patients. The methodological quality of included reviews was assessed using the AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews) tool., Results: Eighteen individual systematic reviews including ten performed meta-analyses were included, with sample sizes ranging from 225 to 842 participants. VR-based interventions were categorized into three main types: distraction, rehabilitation, and education. The interventions varied significantly in terms of content, equipment, setting, and duration. The most frequent use of VR is one-off exposure in hospital settings to distract patients from anticancer treatment and painful procedures, with natural or game-based content. The mechanism most commonly proposed to explain the effectiveness of VR involves attentional redirection., Conclusions: This umbrella review suggests that VR-based interventions may be effective in improving psychological outcomes in cancer patients, particularly anxiety, pain, and depression. However, high heterogeneity across studies and mixed results for some outcomes indicate a need for further high-quality research. Moreover, a more refined analysis of VR-based interventions is essential to explore the specific mechanisms of action associated with each type. This approach would enable us to establish the optimal characteristics of each intervention and their long-term effects.

Three studies were designed to explore a major criticism of sacrificial dilemmas, namely that their potential humorous aspects may distort moral decision-making. We collected moral responses (i.e. moral judgment and choice of action) but also asked participants to rate the funniness of moral dilemmas, in order to combine humour assessment and moral responses. In addition, the emotional responses to moral dilemmas were recorded for both men and women (including emotions related to humour), and the potential effect of individuals' need for humour was also considered. Overall, three main results were reported. Firstly, the dilemmas used in our studies were not rated as funny at all. Secondly, reading moral dilemmas increased negative emotions (i.e. sadness, disgust, guilt) and decreased positive emotions associated with humour (i.e. joy, amusement, and mirth), with gender effects since women experienced stronger negative emotions than men. Thirdly, funniness ratings of sacrificial dilemmas did not vary according to gender and need for humour. This series of studies does not report empirical evidence to support the humorous aspects of trolley-type dilemmas, but invites a more systematic examination of how sacrificial dilemmas are perceived by participants who have to produce moral responses.

Introduction: Traditionally, human morality has been largely studied with classical sacrificial dilemmas. A way to advance current understandings of moral judgment and decision-making may involve testing the impact of contexts that are made available to individuals presented with these archetypal dilemmas. This preliminary study focused on assessing whether the availability of factual and contextual information delivered through classical scenarios would change moral responses., Method: A total of 334 participants were presented with sacrificial dilemmas either with a scenario or without a scenario before performing two moral tasks: one consisted in moral judgment (e.g., is it acceptable to sacrifice one person to save five? ) and one was related to choice of action (e.g., would you sacrifice one person to save five? ). In the condition with a scenario, participants were presented with a story describing the dilemma, its protagonists, their roles, the location and some background details of the situation, before answering to the two moral tasks. In the condition without a scenario, participants were only asked to perform the two moral tasks without any additional contextual elements usually provided by the scenario. Participants' emotions were also measured before and after completing the two moral tasks., Results: The results indicated that the presence of a scenario did not affect moral judgments. However, the presence of a scenario significantly increased utilitarian action choices (i.e., sacrificing one person in the interest of saving a greater number) and this effect was partially mediated by an increase in the perceived plausibility of the sacrificial action. Regarding emotional reaction to dilemmas, no differences were observed between the two conditions, suggesting that emotions are mainly based on the two moral tasks., Discussion: These findings underscore the value of carefully considering the role of factual and contextual information provided by the scenarios in moral dilemmas., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Carron, Brigaud, Anders and Blanc.)

It is well established that one's sense of morality may be readily influenced by one's culture, education, and life situation. Very few psychometric tools are currently available to measure facets of human morality in different cultures. Therefore, the purpose of the present study was to develop a French adaptation of the Oxford Utilitarianism Scale (OUS-Fr) and formally evaluate its validity. The OUS-Fr was developed through a process of back-translation and administered to a sample of 552 participants. Results from exploratory factor analyses revealed a bidimensional structure with satisfactory loadings that was then also supported in the confirmatory factor analysis check. The OUS-Fr scale demonstrated good psychometric properties, with acceptable internal consistency and coherent results in the convergent validity analyses. These findings contribute to morality measurement literature by providing evidence for the reliability and validity of the French adaptation of the OUS. The OUS-Fr can be viewed as a valuable tool for researchers and practitioners for assessing utilitarian tendencies within the French-speaking population, which could pave the way for cross-cultural understandings that are important for fully understanding the intricacies of human morality., (© 2023. The Author(s).)

This study examines interindividual differences between gifted and non-gifted children in the school environment. Three distinct measurement tools were used to enable a multimodal approach of gifted and non-gifted children with abstract graphic creativity, feelings about school and engagement in the school environment being considered. The results obtained from 328 children (including 45 gifted children) revealed that the gifted children obtained scores significantly higher than non-gifted children in terms of self-determination, feelings about school, and creativity. In addition, a gap appears among gifted children between their significantly higher scores for motivation and intellectual skills versus standard scores for their socio-affective development. Such results are consistent with the idea of asynchronous development, which is characteristic of gifted children (cognitive and conative vs. socio-affective sphere), offering perspectives for more adapted support for these pupils in elementary school.

Recent studies in neuroeducation highlight the benefits of teaching children about how the brain works. However, very little is known about children's naive conceptions about the brain. The current study examined these representations, by asking 6-10 year-old children ( N = 257) and adults ( N = 38) to draw a brain and the inside of a belly as a control drawing. The drawings were scored using a content analysis and a list of graphic indicators was derived. First, all the graphic indicators used in the brain drawings were different from those used in the belly drawings, suggesting that children are able to distinguish these two organs. Second, with age, children depict (i) an increasing number of indicators, (ii) more complex indicators, (iii) indicators that are more anatomically correct, to depict the brain. There is an important evolution between 6 and 8 years-old but also between 10 years-old and adults. These results are discussed in relation to children's metacognitive knowledge and to their implications for neuroeducation., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Brechet, Blanc, Mortier and Rossi.)

The evolution of therapies and practices in oncology has made exchanges and city-hospital coordination in the patient's care pathway essential. As part of the system introduced by Article 51 of the Social Security Financing Act for 2018, the Léon-Bérard Center in Lyon (69), supported by its supervisory authorities, is experimenting with a new organizational method via its home immunotherapy project. An initial review, conducted two years after its launch, demonstrates the benefits for patient quality of life and safety., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

"Sacrificial dilemmas" are the scenarios typically used to study moral judgment and human morality. However, these dilemmas have been criticized regarding their lack of ecological validity. The COVID-19 pandemic offers a relevant context to further examine individuals' moral judgment and choice of action with more realistic sacrificial dilemmas. Using this context, the purpose of the present study is to investigate how moral responses are influenced by the contextualization of the dilemma (i.e., contextualized or not within the Covid-19 pandemic). By comparing two versions of one dilemma, Experiment 1 revealed that the more realistic version (the one contextualized within the Covid-19 pandemic) did not elicit more utilitarian responses than the less realistic version (the one not contextualized within the Covid-19 pandemic). In Experiment 2, we examined more specifically whether both the perceived realism of the dilemma and the plausibility of a utilitarian action influence moral responses. Results confirmed that the contextualization of the dilemma does not make any difference in moral responses. However, the plausibility of an action appears to exert an influence on the choice of action. Indeed, participants were more inclined to choose the utilitarian action in the plausible action versions than in the implausible action versions of the dilemma. Overall, these results shed light on the importance for future research of using mundane and dramatic realistic dilemmas displaying full information regarding a sacrificial action and its consequences., Competing Interests: The authors have declared that no competing interests exist.

Aim and Objective: The objective of this study was to evaluate the AccuVeinAV400® viewing device for peripheral venous catheter insertion in children on the first try., Background: Inserting a peripheral venous catheter is the most frequent invasive procedure carried out by healthcare professionals in hospitalised children. Several attempts are sometimes necessary, and veins can be damaged., Design: A quasi-experimental cluster randomised controlled trial based on the CONSORT 2010 guidelines., Methods: This randomised study comparing standard practice to the use of AccuVein400 ® was carried out on children who were less than 3 years old, with difficult intravenous access (DIVA Score), hospitalised in three paediatric units and who needed cannulation., Result: A total of 304 children were included (156 in the AccuVein arm and 148 in the standard arm). There was no significant difference between AccuVein and standard groups in age (respectively, 2.5 ± 0.9 years vs. 2.5 ± 0.8), or mean DIVA score (respectively 5.9 ± 1.3 vs. 5.5 ± 1.2). The success of cannulation on the first attempt was 40.38% in the AccuVein arm vs. 41.2% in the standard arm (p = .6). The caregiver's assessment of pain on the Face Legs Activity Cry Consolability scale was 4.8 ± 0.2 in the AccuVein arm vs. 5.0 ± 0.2 (p = .4)., Conclusions: The use of AccuVein400® did not lead to greater success in intravenous insertion at the first attempt in children under 3 years of age with difficult intravenous access., Relevance to Clinical Practice: This device can therefore be used according to the healthcare professionals' situation and needs. It is widely used in paediatric wards, and our study shows that it offers a support tool that reassures healthcare professionals and helps validate their choice of vein easiest to catheterise., (© 2021 John Wiley & Sons Ltd.)

Launched in 2019, the French Citizens' Convention for Climate (CCC) tasked 150 randomly chosen citizens with proposing fair and effective measures to fight climate change. This was to be fulfilled through an "innovative co-construction procedure", involving some unspecified external input alongside that from the citizens. Did inputs from the steering bodies undermine the citizens' accountability for the output? Did co-construction help the output resonate with the general public, as is expected from a citizens' assembly? To answer these questions, we build on our unique experience in observing the CCC proceedings and documenting them with qualitative and quantitative data. We find that the steering bodies' input, albeit significant, did not impair the citizens' agency, creativity, and freedom of choice. While succeeding in creating consensus among the citizens who were involved, this co-constructive approach, however, failed to generate significant support among the broader public. These results call for a strengthening of the commitment structure that determines how follow-up on the proposals from a citizens' assembly should be conducted., Competing Interests: Competing interestsJ-MF was a member of the Governance Committee of the CCC. The authors declare no other competing interests., (© The Author(s) 2022.)

The influence of dark humor on moral judgment has never been explored, even though this form of humor is well-known to push the boundaries of social norms. In the present study, we examined whether the presence of dark humor leads female participants to approve a utilitarian response (i.e., to kill one to save many) in sacrificial dilemmas. The effects of two types of humorous contexts were compared (i.e., dark vs. nondark) on dilemmas, which differed according to whom benefits from the crime (i.e., oneself and others vs. others only). In addition to collecting moral responses, individuals' emotional states were assessed at three critical steps: Before and after reading the jokes and also after performing the moral judgment task. Our results revealed that dark and nondark humor similarly elicited a positive emotional state. However, dark humor increased the permissiveness of the moral violation when this violation created benefits for oneself. In self and other beneficial dilemmas, female participants in the dark humorous condition judged the utilitarian response more appropriate than those in the nondark condition. This study represents a first attempt in deepening our understanding of the context-dependent nature of moral judgment usually assessed in sacrificial dilemmas., Competing Interests: The authors have declared that no competing interests exist.

In the past decade, humor in scientific research has become more and more popular providing an increase of data identifying the context in which humor is a promising communication strategy in preventive health messages. To avoid the limits of declarative responses usually recorded in past studies, eye tracker technology offers the possibility to assess and dissect the effects of humor on visual attention. In this brief report, we first attempt to extend the results of previous studies by recording eye movements while participants were exposed to humorous and nonhumorous print health ads dealing with tobacco and alcohol consumption. A secondary purpose is specifically to test the visual attention French women devoted to humorous tobacco preventive ads, the worrying results of recent studies urging to find a way to improve tobacco preventive campaigns. Based on three complementary eye-tracking measures (i.e., total dwell time, fixation count, and revisits), the results showed that humorous health messages were scanned longer and more frequently and revisited more often compared to nonhumorous ones. In addition, humor appeared to reduce smokers' avoidance of preventive tobacco messages. The different pattern of visual exploration confirms that humor is a good strategy to grab attention even of individuals who are involved in the health topic addressed. In short, this paper argues for introducing lightness into a very serious subject, health communication, based on the analysis of eye movement evidence., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Brigaud, Lafont and Blanc.)

Background: Even though virtual reality (VR) is more and more considered for its power of distraction in different medical contexts, the optimal conditions for its use still have to be determined in order to design interfaces adapted to therapeutic support in oncology., Objective: The objective of this study was to examine the benefits of VR using two immersion methods (i.e., one participatory, one contemplative) and comparing them with each other in a population of women with breast cancer who have undergone breast surgery, during scar massage sessions., Methods: In a physiotherapy center, each patient participated in four experimental conditions in a random order: two sessions used virtual immersion (i.e., one participatory and one contemplative), one session proposed musical listening and the fourth one was a standard session care. The impact of the level of patient involvement in the virtual world was apprehended through the evaluation of the feeling of presence; the estimation of elapsed time of the physiotherapy sessions and particular attention was paid to the evaluation of patient emotional state., Results: Our study showed an increase in positive emotions (i.e., joy and happiness) and a decrease in anxiety regardless which support methods were offered. Participatory VR created a feeling of more intense spatial presence., Conclusion: Our results highlight the importance of the context in which VR should be offered. The presence of the practitioner and his interactions with the patient can provide a context just as favorable in reducing anxiety as the emotional regulation tools used (VR, music). The use of technological tools should be favored when the practitioner is unavailable during the treatment phase or, even, in order to reduce the monotonous nature of repetitive therapeutic sessions., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Buche, Michel, Piccoli and Blanc.)

Because virtual reality seems to be increasingly considered in different medical fields, the objective of this study is to define the optimal conditions for its use in a population of elderly women with breast cancer. By using a questionnaire, we evaluated the interest but also the immersive aspirations and preferences of elderly women with regard to this innovative device, taking into account the possible changes with age (60-65 years; 66-69, 70 and over). Surprisingly, older people - whatever the age group - are particularly favorable to virtual reality without actually having experienced it. The patients primarily chose immersion in a natural environment (with a marked preference for mountain landscapes) accompanied by musical background or even guided relaxation. However, because they judged important to remain focused on the treatments, the patients especially expect VR to regulate their negative emotions (lowering anxiety) and to allow them to escape from the painful contingencies of the real. Thus, virtual reality must take them into a magical world, which is more salient than to distract them or make them laugh. The distracting power, commonly associated with VR, does not seem to be the most popular reason to use with seniors facing medical care.

For women of all ages, a mastectomy can affect their body image and femininity. Poor management, both physical and emotional, of a breast removal, can have major consequences on a patient's intimate, family and social life. In the framework of the multi-disciplinary treatment of breast cancer, a team in Lyon carried out a study on the impact of including socio-aesthetic practices in the overall care.

Organised breast cancer screening targets women aged between 50 and 74. Beyond this age group, the risk persists and cancer professionals notice inequalities in access to diagnosis linked to age. With the aim of improving early detection of these cancers in women over 75, an oncogeriatric nurse at the Léon-Bérard cancer centre in Lyon has carried out a study to find out if modesty could represent a hindrance to screening.

In 1993, Nicolaides and Baraitser reported a new condition consisting of short stature, hypotrichosis, brachydactyly with cone-shaped epiphyses, epilepsy and severe mental delay. We report here two unrelated patients with identical features, thus confirming the status of this rare disorder of unknown aetiology.