Incidence clinique des psychotraumatismes dans la consultation externe d’un service de psychiatrie

The authors aimed at evaluating the impact of psychotraumas in psychiatric outpatients. One hundred forty psychiatric outpatients were consecutively included, without distinction of their current pathology. They filled in an inventory of potentially traumatic experiences, a psychological dissociative experiences scale, a somatoform dissociative experiences questionnaire, and underwent a structured interview for diagnosis of posttraumatic stress disorder (according to the DSM-IV). One hundred subjects related psychological trauma, and 76 patients suffered from posttraumatic stress disorder. Dissociative disorders are found significantly correlated with traumatic experience and to posttraumatic stress disorder. The traumatic impact is found more substantial as the number of events was elevated. This study confirms the elevated prevalence of the psychological traumas and psychotraumatic aftermaths in outpatients of a department of psychiatry, independently from the mental disorder.     

奥林巴斯BX41系统显微镜使用维护与常见故障排除

BX - 4 1系统显微镜使用UIS(万能无限远 )光学系统、只能与适用于MX2系列的UIS目镜、物镜和聚光镜一起使用 ,如果使用不适当的附件就不能获得最优性能。此显微镜优点是清晰度高、可选择任意图像拍照。显微镜使用良好与否 ,与日常维护有着极大关系。如果日常维护和保养不到位 ,就会导致显微镜不能处于最佳状态。第一 ,显微镜是精密仪器 ,操作时要小心 ,避免突然和剧烈的震动。必须安装在坚固、平坦桌面或工作台上、不要在有阳光直射、高温、潮湿、多尘的地方使用显微镜。移动显微镜时。要用双手小心地握住镜臂和镜基后面的把手。电压控制…     

La douleur peut-elle être perçue et cherchée plus « vivement » dans une culture postmoderne en perte de sens ?

The perception of the pain, and the “work of pain” which ensues from it, bound to the notion of trauma-hurt to subjects presenting a thought operating and a depression main part, sign a physical fixation for an object psychically not representable. These subjects have a real incapacity to perceive and symbolize the affect of psychic suffering as well borderline teenagers (self-harm). Having reminded the Freudian and psychoanalytical conceptions on the pain, the operating functioning and the self-harm behaviour, the authors will refer to certain sociological works describing certain characteristics of our post-modern social, cultural and linguistic organization to underline the impact of these in the increase of the behaviour of search for the pain to borderline patients or with the perception of the pain as only sign of a mental suffering impossible to symbolize. So, we notice that the loss of symbolic structuring of our post-modern civilization, the ascent in power of the thought operating, the social and domestic disorganizations, have a real cost on our contemporaries psychic and somatic health, particularly on the most numerous among them as teenagers.     

欧美达系列麻醉机应用中的常见故障及原因分析

目的探讨欧美达(OHMEDA)系列麻醉机临床应用中常见故障发生的原因及预防措施。方法对我院近年来OHMEDA系列麻醉机应用过程中发生的一些故障进行分析。结果常见故障主要有:屏幕显示呼出气体反流;误将螺纹管接于氧气转换阀处接口;呼吸环路内压力异常升高等。结论其发生原因有的与麻醉机部件损坏有关,有的则与使用不当有关。     

Facteurs de risque précoces et trajectoires développementales du trouble déficit de l’attention/hyperactivité (TDAH)

Attention Deficit/Hyperactivity Disorder (ADHD) is associated with a set of early genetic and environmental risk factors. Genetic risk factors, of which existence is supported by genetically informed (i.e. Twin) and molecular studies, are yet partially identified. They do not constitute diagnostic markers or therapeutic targets for preventive interventions. Early environmental risk factors exist and could represent targets for early interventions. However, their causal nature is not determined yet. In addition, early environmental risk factors are distal factors compared with later risk factors, which makes difficult the understanding of their direct links with the ADHD phenotype. Developmental trajectories of ADHD are interesting to study in order to take into account the dimensional and developmental nature of ADHD. Investigating the link between early risk factors and developmental trajectories could allow a better understanding of their interactions along time. The experiment of preventive interventions of ADHD could lead to disentangle mechanisms and provide new tools to treat ADHD.     

Usage d’Internet chez les millennials : qu’en dit la littérature ?

The use of Internet and social media is the most common activity today for teenagers and young adults. Today, the question is not how much time is spent online but from how long does it become pathological or from what age can one be online without it being too young. A large part of the social and emotional development takes place on the Internet for the younger generation. Internet offers them a portal for their distraction and communication with advantages but also risks. Given the magnitude of this phenomenon, we conducted a literature review in order to take stock of the current situation of Internet use for adolescents/young adults concerning cyber addiction, particularly those related to social media and video games as well as its psychiatric comorbidities and its psychological impact. We also looked for literature on the issues of self-representation, its implications for privacy and loss of self-esteem, cyberbullying and sleep disorders. Young people are at risk of living negative experiences more than parents tend to realize. Internet and social media are a topical subject that is of great interest to be explored in connection with sociological, psychological and psychiatric issues. Clinical consequences already are felt with the presence of comorbidities and addictions in psychiatry but also the presence of physical consequences in pediatrics.