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Plaidoyer pour une « anti-préparation » consciente à la maternité
Get PDFOccupant les positions privilégiées de doctorantes et de mères, notre regard critique sur cette problématique nous amène à proposer une « anti-préparation » à la maternité en ce sens où les femmes devraient être appelées à déconstruire les croyances contraignantes entourant la maternité plutôt qu’à cumuler de nouvelles connaissances parfois contradictoires, souvent inutiles, et particulièrement anxiogènes. Cette « anti-préparation » ne constitue pas un appel à l’ignorance, mais elle encourage à pondérer la consommation de connaissances, dans la mesure où de telles connaissances sont génératrices de croyances qui effritent et surtout invisibilisent les forces intrinsèques des femmes. Bien que certaines informations entourant la maternité soient essentielles à connaitre, il nous semble nécessaire qu’une attention plus soutenue soit consacrée à l’autonomisation des mères ainsi qu’à la remise en question des normes dominantes qui, finalement, ne les servent pas toujours en première instance. Autrement dit, ce plaidoyer vise à ébranler la fonction autoritaire des savoirs médicalisés imbriqués aux normes capitalistes et patriarcales de la maternité vis-à-vis les forces intrinsèques des mères. En somme, par cet argumentaire, nous souhaitons ainsi promouvoir une approche non pas inclusive à cette commercialisation de la maternité, mais plutôt anti-oppressive en légitimant de façon conjointe les forces intrinsèques des mères et leurs croyances facilitantes qu’elles soient médicalisées ou tacites. 
English
No full textBackground: Despite the widespread use of complementary and alternative medicine (CAM) for autistic children, little is known about the communication flow between the different parties involved in the care (i.e., parents/caregivers, conventional providers, alternative practitioners). This study aimed to describe how communication occurs through the first year of care to identify challenges and potential barriers to communication that may affect the care of autistic children.
Methods: From an ecological perspective, we collected qualitative data through 12 semi-structured interviews with six parents/caregivers, three conventional providers (family doctor, neurodevelopmental pediatrician, psychologist), and three alternative practitioners (naturopath, occupational therapist, speech and language pathologist) operating in Ottawa, Canada. The data was interpreted using thematic analysis.
Results: Findings revealed that parents/caregivers are the only links between the health professionals of both streams. The communication between parents/caregivers and conventional providers faces a perceived lack of knowledge of these professionals relating to CAM, a lack of care integration, flexibility, and time constraints. In alternative care settings, care integration and time constraints are an issue. From the five contexts examined, only the organizational and interpersonal contexts influence communication flow within the system.
Conclusions: The increasing interest in alternative medicine is forcing changes in the healthcare system. Within the identified themes in the current study, the necessity for communication between all parties involved in the care of autistic children is evident. More ASD and CAM-related training for providers and openings for information-sharing between the two streams would support effective parent/caregiver-care provider communication. These findings contribute to a better understanding of the role of communication in the care management of autism, which has implications for effective autism care
Quality improvement opportunities for urine culture follow-up in a tertiary care emergency department: A pilot study
No full textInstitutional quality assurance processes have been developed to address the follow up of abnormal test results ordered in the emergency department (ED). We conducted a health records review at an academic tertiary care ED to understand the process and times taken to follow up post-discharge urine culture results transferred to physicians for review.
All patients (age ≥18 years) who were seen and discharged between July 1, 2020 and June 30, 2021 and had a positive urine culture were eligible for inclusion. We randomly selected 100 patients, abstracted follow-up times, and reported descriptive statistics.
65 were initially identified as requiring further follow-up for their culture results. Nearly 80% of these patients required new, additional, or revised antimicrobial therapy. Overall, the mean time from ED discharge to follow-up completion was 3.4 days (SD 2.1 days). The longest contributor was the time for transfer of results from nurses to physicians for review at 1.4 days (SD 1.2 days).
We demonstrated considerable delay in the follow-up of urine culture results requiring physician review. Future work should address opportunities for reducing times to follow-up, including semi-automation of benign culture results and capture of key patient demographic information in the electronic medical record
L’insécurité linguistique dans les communautés étudiantes de l’Ontario. : Au-delà de l’individu, l’influence de la norme française et de la glottophobie
Get PDFLinguistic insecurity is a problematic that has been studied in Canada for several years, but to our knowledge, it has not been analyzed from the perspective of glottophobia, nor its links to the French standard. The purpose of this study is to explore these issues within Francophone communities of Ontario. More than 131 students participated in an online survey. The results show that 43% of the participants have been victims or witnesses of glottophobia within the past three years. In response to these linguistic discriminations, 30% of the participants used avoidance strategies (avoiding speaking in French) or compensation strategies (selfcensorship, not using certain words, etc.). Finally, we emphasize the importance of continuing research from the perspective of glottophobia, so that speakers no longer feel solely responsible for their linguistic insecurity.L’insécurité linguistique est une problématique étudiée depuis plusieurs années au Canada, mais à notre connaissance, elle n’a pas été analysée à partir de la glottophobie et de ses liens avec la norme française. L’objectif de cette étude est d’explorer ces thématiques dans des communautés francophones de l’Ontario. Plus de 131 étudiantes et étudiants ont participé à une enquête en ligne. Les résultats montrent que 43% des participantes et participants ont été victimes ou témoins d’une glottophobie au cours des trois dernières années. En réaction à ces discriminations linguistiques, 30% des participantes et participants ont utilisé des stratégies d’évitement (éviter de parler en français) ou de compensation (autocensure, cesser d’utiliser certains mots, etc.). En conclusion, nous répétons l’importance de poursuivre les travaux de recherche sous l’angle de la glottophobie afin que les locuteurs et locutrices cessent de se sentir les uniques responsables de l’insécurité linguistique
El México rojo: Entropic Humour, Naturalism, and Death in Luis Buñuel’s El río y la muerte and Ensayo de un crimen
Get PDFThis article analyzes death, violence, and machismo in two Mexican films by Luis Buñuel, El río y la muerte (1954) and Ensayo de un crimen (1955), starting from a naturalist perspective (Deleuze, 1986) and applying the concept of “entropic” humour (O’Neill, 1990). Despite numerous studies on surrealist humour in Buñuel’s films, it is necessary to investigate how his “peculiar” black humour operates, both in his naturalist works and in a Mexican context, “the chosen land of black humour” (Breton, 1941). I contend that both films satirically link violent impulses and stereotypical cultural constructions surrounding death in Mexico.Este artículo analiza la muerte, la violencia y el machismo en dos películas mexicanas de Luis Buñuel, El río y la muerte (1954) y Ensayo de un crimen (1955), partiendo de una perspectiva naturalista (Deleuze, 1986) y aplicando el concepto del humor “entrópico” (O’Neill, 1990). Pese a muchos estudios sobre el humor surrealista en sus películas, es necesario investigar cómo su “peculiar” humor negro funciona, tanto en sus obras naturalistas como en México, “el país elegido del humor negro” (Breton, 1941). Sostengo que ambas películas vinculan satíricamente impulsos violentos y construcciones culturales estereotípicas entorno a la muerte en México
D’un diagnostic de la maladie d\u27Alzheimer à une solution
No full textMeet Mrs. Rodriguez, a 72 year-old retired school teacher, now living by herself, who was recently diagnosed with Alzheimer’s Disease (AD). AD represents the cause of 60% to 80% of Dementias [7], a broad term that encompasses conditions describing symptoms associated with progressive deterioration of cognitive activity, and of which the prevalence increases over the age of 65 years old [12] [7].Voici Mme Rodriguez, une enseignante retraitée de 72 ans, qui vit désormais seule et qui a récemment reçu un diagnostic de maladie d\u27Alzheimer (MA). La MA est à l\u27origine de 60 à 80 % des démences [7], un terme général qui englobe les affections décrivant des symptômes associés à une détérioration progressive de l\u27activité cognitive, et dont la prévalence augmente après 65 ans [12][7]
