[Alcohol consumption by health students: Ifsi protected?] / Consommation d'alcool des étudiants en santé : Ifsi protégé ?

A study of health students at the Université de Bretagne Occidentale showed that nursing students smoked more than those in other fields. The present study of health students in the same city shows that, conversely, students in nursing training institutes (Ifsi) consumed less alcohol.

[Care, a place of affectivity and emotions]. / Le soin, lieu d'affectivité et d'émotions.

Joy, fear, disgust, anger, sadness, surprise, emotions are fleeting and natural affects that catch us off guard. Care, as a face-to-face encounter with others, in a sometimes difficult context of serious or chronic pathologies, can become a place of affectivity, all the more so as care crosses the barriers of bodily intimacy. What to do with one's emotions in care?

Invasive bone and joint infections from the French Scedosporiosis/lomentosporiosis Observational Study (SOS) cohort: no mortality with long-term antifungal treatment and surgery.

Little is known about localized osteoarticular Scedosporiosis (LOS). Most data come from case reports and small case series. Here we present an ancillary study of the nationwide French Scedosporiosis Observational Study (SOS), describing 15 consecutive cases of LOS diagnosed between January 2005 and March 2017. Adult patients diagnosed with LOS defined by osteoarticular involvement without distant foci reported in SOS were included. Fifteen LOS were analyzed. Seven patients had underlying disease. Fourteen patients had prior trauma as potential inoculation. Clinical presentation was arthritis (n = 8), osteitis (n = 5), and thoracic wall infection (n = 2). The most common clinical manifestation was pain (n = 9), followed by localized swelling (n = 7), cutaneous fistulization (n = 7), and fever (n = 5). The species involved were Scedosporium apiospermum (n = 8), S. boydii (n = 3), S. dehoogii (n = 1), and Lomentospora prolificans (n = 3). The species distribution was unremarkable except for S. boydii, which was associated with healthcare-related inoculations. Management was based on medical and surgical treatment for 13 patients. Fourteen patients received antifungal treatment for a median duration of 7 months. No patients died during follow-up. LOS exclusively occurred in the context of inoculation or systemic predisposing factors. It has a non-specific clinical presentation and is associated with an overall good clinical outcome, provided there is a prolonged course of antifungal therapy and adequate surgical management.

Localized osteoarticular scedosporiosis mostly occurs following direct inoculation. Management was most often based on voriconazole therapy and concomitant surgery. Unlike other invasive scedosporiosis, no patient died during follow-up.

[Covid-19, or the highlighting of a "gift of self-care"]. / La crise de la Covid-19, ou la mise en lumière d'un don de son "soi-soignant".

The pandemic has highlighted the self-sacrifice of caregivers, who are ready to give themselves for their patients. But what does it mean? The caregiver gives himself; but, by putting on a good face, he gives a distorted image of himself. This gift of a "non-self" is a gift of his "caregiver-self". Awareness of this aspect can help to better listen to oneself and provide some lines of thought for society.

[Continued breastfeeding upon return to work: a qualitative study at the Brest University Hospital]. / Poursuite de l'allaitement à la reprise du travail : étude qualitative au CHRU de Brest.

The objective of this qualitative study was to highlight the facilitating measures and difficulties encountered in continuing breastfeeding when returning to work at the Brest Regional University Hospital. The eleven mothers interviewed were able to take advantage of the solidarity in the care services to carry out their project, but simple institutional measures are still possible to facilitate this conciliation.

[A little background on the history of AIDS and HIV]. / Principaux rappels à propos de l'histoire du sida et du VIH.

As we have just commemorated the 40th anniversary of the discovery of AIDS, which was described in 1981 and declared a pandemic 20 years ago, in 2002, we are tracing the history of the disease in order to promote awareness of the imaginary nature of the disease. A useful approach to the care of the HIV-positive person.

[Smell and care: from professionalism to emotions]. / Odeurs et soins, du professionnalisme aux émotions.

The sense of smell presents itself to us as a means of forging an opinion of a situation, sending us back to our memories and giving us a form of knowledge of the patient. In addition, besides the obvious repulsion that certain wounds can engender, the sense of smell can also, conversely, lead us into an eroticization of care.

Chapitre 6. Mensonge et discrétion du patient à l'ère de la médecine numérique ?

New technologies have profoundly changed the socialization as well as the care pathway. Digital medicine is taking a new turn with the emergence of connected drugs, making it possible to monitor the taking of treatment. In the United States, a connected drug used for the treatment of bipolar disorders has received marketing authorization, in particular. The purpose of this article is not to enter into the debates about this treatment specifically, but about the technology itself. Our problem is to ask ourselves whether the computerized traceability of medication intake does not influence the doctor-patient relationship. To do this, we use the doctor-patient relational asymmetries, and the main doctor-patient relationship models, to show that the patient’s space of freedom also involves a power to lie or to hide information. In our opinion, too high a traceability would not meet the real demand of the patient; request varying according to his psychological changes, but above all, according to his personal evolution with his/her illness.

[Microbial ecology, the understanding of the invisible living]. / L'écologie microbienne, pour une appréhension du vivant invisible.

Microorganisms are invisible to the naked eye. Hospital hygiene practices are therefore based on the representation that caregivers have of them. This difficulty can generate irrational behavior and fear of blame. Conversely, a better knowledge of the specificities of this invisible living world favors a rationalization of care practices. To do this, caregivers will be able to appropriate the major concepts of microbiology, particularly microbial ecology.

[What the invisible microbiota shows about the care giving system]. / Ce que l'invisible microbiote donne à voir du soin.

When we talk about micro-organisms, the notion of hygiene prevails. However, this invisible ecosystem, which permeates us and connects us to patients, should make us aware of the intimate relationship among human beings.

[Impact of the pandemic on students]. / Impact de la pandémie sur les étudiants.

French society has become aware of the distress of students, to the point of setting up systems dedicated to their mental health. To avoid confusion, it is important to qualify the mental health of students and to suggest ways to understand why this is a vulnerable population facing the health crisis.

[The balance of healthcare students in jeopardy]. / Les étudiants en santé, leur équilibre en péril.

Healthcare students have experienced this first year of the COVID-19 pandemic differently. Some have volunteered to support services in tension. They were concerned about whether their training would be provided, especially for technical skills.

[COVID-19, student aid, public health and solicitude]. / Covid-19, aide aux étudiants, santé publique et sollicitude.

Student aid policies are broad organizational lines. They must not be confused, despite the obvious solicitude of public actors, with the caregiver's posture. It is then necessary to reinterrogate solicitude to defend a form of prevention by the mobilization of the actors, namely the students themselves.

[Supporting students to take care of their health]. / Permettre aux étudiants d'être acteurs de leur santé.

The current health crisis is impacting the vision of the present and the future. It is not a matter of feeling "sacrificed", but rather of discovering a new way of approaching the world around us. This is the case for our representations of health and the interdependence of people and generations.

Anxiety disorders and mood disorders in hospital doctors: a literature review.

This paper is focused on mental health among hospital doctors. This is a review of the literature dated January 1, 2005-December 31, 2019, from the MedLine and Scopus databases. The prevalence of post-traumatic stress disorder and anxiety disorders ranged 2.2-14.6% and 10.5-19.3%, respectively. Several risk factors were significant, such as having had blood exposure accidents, or the interaction between family and work life. The prevalence of mood disorders ranged 7.8-48%. Occupational constraints, such as night work or psychological demand, were related to the presence of mood disorders. This literature review showed the prevalence of disorders that can be reactive at work in hospital doctors. The risk factors studied can guide prevention policies within hospitals. Med Pr. 2021;72(2):163-71.