You've Got E-Mail: A Pilot Study Examining the Feasibility and Impact of a Group-Based Technology-Training Intervention Among Older Adults Living in Residential Care.

Older adults living in residential care often experience challenges in sustaining meaningful social relationships, which can result in compromised health and well-being. Online social networking has the potential to mitigate this problem, but few studies have investigated its implementation and its effectiveness in maintaining or enhancing well-being. This pilot study used a cluster-randomized pre-post design to examine the feasibility of implementing a 12-week group-based technology-training intervention for older adults (n = 48) living in residential care by exploring how cognitive health, mental health, and confidence in technology were impacted. Analysis of variance revealed significant increases in life satisfaction, positive attitudes toward computer use, and self-perceived competence among participants who received the intervention, but increased depressive symptoms for the control group. These findings suggest that, despite challenges in implementing the intervention in residential care, group-based technology training may enhance confidence among older adults while maintaining or enhancing mental health.

Changes in suicide-related tweets before and during the COVID-19 pandemic in France: The importance of social media monitoring in public health prediction.

INTRODUCTION: The COVID-19 pandemic impacted mental health, as demonstrated by numerous studies. In recent years, especially during the pandemic, the use of social networks, including Twitter, increased. This suggests that this media could help with mental health monitoring, as attested by previous studies. METHOD: We conducted a multidisciplinary study on French tweets that were posted between January 1, 2019, and December 31, 2021. We selected the tweets via the Twitter API (Application Programming Interface) using five keywords relating to suicide: want to die, suicidal ideation, commit suicide, suicidal, and suicide attempt. A word frequency analysis was performed, and the data were compared with the number of emergency visits for suicidal ideation before and during the COVID-19 pandemic as recorded by the French national suicide observatory. RESULTS: We observed that 189,005 tweets were related to suicide in 2019, 261,993 in 2020 (+38.62% of that observed in 2019), and 301,177 in 2021 (+59.35% of that observed in 2019). We also observed an increase in the number of tweets containing control words in 2020 (+30.07% of that observed in 2019), but in 2021, the number almost fell back to the level of that in 2019 (+5.96% of that observed in 2019). Furthermore, the difference between both ratios (of suicide-related tweets and of tweets containing control words) was most significant during the third lockdown. The change in the number of suicide-related tweets followed a curve that overlapped with the change in the number of emergency visits following suicidal ideations, as reported by the French national suicide observatory. In conclusion, Twitter can be an adequate and reliable tool for screening for suicidal ideation in the general population.

Suggestibility, Facebook use and relationship with substance addictive behaviors.

OBJECTIVE: Several health issues related to the us of social networking sites (SNS) are documented. One concept that is not clearly studied is suggestibility as the tendency of a person to accept and internalize communication. The aim of the study is to test a model in which suggestibility of people can predict SNS use, which in turn can predict substance use. METHODS: Participants answered a questionnaire measuring suggestibility, alcohol consumption, dependence to nicotine and Facebook use. Linear regression and a structural equation model (SEM) were carried out to assess which utilization of Facebook variables explained best the level of alcohol consumption or nicotine dependence and to assess how suggestibility predicted Facebook use. RESULTS: Linear regression analyses indicate that only the number of friends on Facebook is a predictor of the level of alcohol consumption (P<0.001). Suggestibility predict the frequency of Facebook use (P<0.001) and of the number of friends on Facebook (P=0.022). The SEM demonstrates that participants with a higher level of suggestibility have more friends on the SNS, which can influence substance consumption. CONCLUSION: Individuals' level of suggestibility affects Facebook use. People with a higher level of suggestibility are more likely to have many friends on the SNS resulting in a possible environmental influence on substance use.

"Muscle Pics", a new body-checking behavior in muscle dysmorphia?

BACKGROUND AND AIMS: The internalization of ideal hypermuscular body and pro-muscularity media's influence have shown their importance in muscle dysmorphia development. The aim of the current study is to have a better understanding of links between specific body checking behaviors and muscle dysmorphia in social network context. METHODS: In total, 342 students practicing weightlifting at the university gym in Bordeaux answered to a survey with sociodemographic information and body checking symptoms including taking specific selfies of muscles and muscularity "Muscle Pics" and the MDDI (Muscle Dysmorphic Disorder Inventory). RESULTS: Muscle dysmorphia was prevalent in 18.7% of our population (64 students). We observed that muscle dysmorphia was correlated to "Muscle Pics", "Follow-up", "Message", "Selfie", and gym mirror checking with significant results (P<0.01). Also, « Muscle Pics ¼ were linked to APEDs use, pro-muscularity websites, fitness model comparison and gym mirror checking (P<0.01). For muscle dysmorphia, "Muscle Pics" have strong predictive results (OR=5.10, P=0.000) and (OR=4.08, P=0.000) for adjusted. "Follow up" (OR=4.76, P=0.000) and (OR=3.83, P=0.000) for adjusted, "Muscle Pics Selfie" (OR=11.20, P=0.000) and (OR=11.55, P=0.000) for adjusted, "Muscle Pics Message" (OR=4.49, P=0.001) and (OR=5.78, P=0.001) for adjusted. CONCLUSION: "Muscle Pics" showed several links with muscle dysmorphia for global score "drive for size", "functional impairment" but not for "appearance intolerance" dimension. Pro-muscularity websites, fitness model comparisons and gym mirror checking are linked to muscle dysmorphia and "Muscle Pics". Future research on "Muscle Pics" will help to provide a better understanding of muscle dysmorphia and its link with pro-muscularity influence websites.

Does the urologist keep a central place in the medical information delivered to patients?

INTRODUCTION: Although urologists play an essential role in informing patients, with the ever-increasing use of modern media, a wealth of information sources is now available. The aim of this study was to identify the different sources of information available to urology patients, assess the scale of use of the internet and social networks in this group, and establish the profile of patients for whom a high level of information is crucial. MATERIALS: A questionnaire was given to 500 patients consulting the urology department of a university hospital. RESULTS: Out of the 500 questionnaires, 372 were analysable; the average age of respondents was 62.9years; 73% were men; 66.9% said they used the internet; 57% had received an explanatory document such as an French Urology Association information leaflet, 32.5% had received information from the paramedical team, 28.2% from their regular doctor, 28.2% from health-related websites and 5.9% from the website developed by the French Urology Association. Although 80.3% of patients thought that information received from the urologist was satisfactory, 53.2% of patients would like to receive more information. We did not identify any factors allowing us to determine the typical profile of patients seeking more information. CONCLUSION: Urologists seem to retain their central role in informing patients, but almost half of patients were still seeking additional information after their urology consultation. The increasing use of the internet should encourage urologists to use these new media resources to optimise the information supplied to patients.

Olhar para o mundo das imagens: uma leitura psicanalítica / A Gaze into the World of Images: through a psychoanalytic point of view / Le Regard du Monde des Images: une lecture psychanalytique

O artigo percorre considerações sobre a realidade da sociedade do espetáculo e os espaços virtuais-sociais que nela favorecem o ilimitado do gozo, tornando absoluto o olhar que, fundamentalmente, é inapreensível. E desenvolve considerações sobre contribuições das plataformas de mídias sociais para a ascendência da imagem, em detrimento da palavra, em movimento que leva os sujeitos ao constante fazer-se ver, por meio de imagens-todas, na busca de tamponar a falta que lhes é constitutiva. E, nesse caminho, tentar dizer o indizível. A psicanálise é o campo teórico/prático que sustenta os argumentos.

This article covers considerations about the reality of the spectacle society and the virtual-social spaces that favor the unlimited of enjoyment, making the gaze absolute which is, fundamentally, inapprehensible. Furthermore, it develops considerations about the contributions of social media platforms to the ascendancy of the image and the detriment of the word, in a movement that leads the subjects to constantly make themselves visible, through images-full, in the search to cover the lack that is constitutive. By that, they try to say the unspeakable. Psychoanalysis is the theoretical / practical field that supports these arguments.

L'article couvre des considérations sur la réalité de la société du spectacle et les espaces virtuels-sociaux qui favorisent l'illimité de la jouissance, rendant absolut le regard, qui est, fondamentalement, incompréhensible. Il développe des réflexions sur les contributions des plateformes de médias sociaux à l'ascendant de l'image et au détriment de la parole, dans un mouvement qui amène les sujets à se rendre constamment visibles, à travers des images-tout, dans la recherche de combler le manque qui est constitutif. Et, de cette façon, essayez de dire l'indicible. La psychanalyse est le domaine théorique / pratique qui soutient les arguments.

[Semantic analysis of online conversations on lung cancer: The WE-Lung research]. / Analyse sémantique de conversations sur le web portant sur le cancer du poumon : étude Web Ethnography-Lung.

INTRODUCTION: Today, patients with lung cancer and their relatives can easily search information on the Internet and express themselves online. METHODS: Within this web-ethnographic research, we found, based on 246 search terms related to lung cancer, and collected, a sample of 136 online conversations that were published between January 2004 and September 2018, including 1220 messages by 762 authors. RESULTS: The authors of messages, many of them close relatives of patients (35%), share their experience (34%). Seven areas of worrying concern, each of them prominent in 10 to 24% of the corpus, can be grouped under three headings: accepting the disease in order for the patient or their caregiver to fight it ("decide on the prognosis", "managing the treatments", "stopping the progression"), conjuring fate ("naming the guilty ones", "conjuring powerlessness"), asserting resilience ("adopt the right attitude" and "telling one's story in order to survive"). The question of time - disrupted, lost, to be caught up with or controlled - runs through all the issues. DISCUSSION: The patients' and caregivers' concerns go beyond the pace of medical treatment and beyond death. Their mental representations of the disease influence their adherence to the care pathway. Welcoming them in our care and dialogue goes hand in hand with personalized treatment.

Is YouTube™ a reliable source for patient information about Holmium Laser Enucleation of Prostate?

OBJECTIVES: Prior to benign prostate surgery, the patient's informed consent is mandatory. Among the multiple source of information for patients, social networks are very popular, but the quality of information delivered is unknown. The aim of this study was to evaluate the quality of the information freely available for patients on YouTube™ regarding HoLEP. MATERIALS AND METHODS: The term "HOLEP" was searched on YouTube™ on December 24, 2020. Videos that were not in English, French or Arabic, specifically destined to the medical community, with no written or oral comment, patient testimonials, pure surgical technique or had content unrelated to HoLEP were excluded from the study. The patient information sheet by the French Urology Association (AFU) was used to create a list of 31 items classified into 4 categories as follows: anatomy and pathophysiology (6 items), technique and perioperative preparation (10 items), usual outcomes (10 items) and complications (5 items). For each item on the predefined list, correct, missing and incorrect information were rated respectively 1, 0 and -1. RESULTS: Thirty-five videos met the inclusion criteria. Their average length was 6'06"±7'03" [00'20"; 31'30"], with an average number of views of 5279±17,821 [8; 87,354]. The information provided on the videos was written and oral, oral-only and written-only in 51%, 34% and 14% of cases, respectively. 23% of the videos showed surgery sequences, 40% animations and 62% a doctor speaking. Only one video had a quality score greater than 80% and 7 videos got a score below 20%. CONCLUSION: The information about HoLEP on YouTube™ seemed not of sufficiently high quality to allow patients to make informed decisions, and was occasionally misleading. Surgeons still have the duty to give the best quality information, and may point patients towards adequate sources of information, especially those delivered by national and international professional societies.

[Measuring adolescents' use of social media: A systematic review]. / La mesure de l'usage des réseaux sociaux chez les adolescents: une revue systématique de la littérature.

OBJECTIVE: The purpose of this review was to provide an overview of the methods used to measure social network site use among adolescents. Such a review is important given the number and diversity of sites and the prevalence of their use among adolescents. METHODS: A systematic review of the literature was conducted in line with PRISMA guidelines to arrive at an analysis of 58 peer-reviewed studies indexed in PubMed, PsychInfo, or Scopus. To be included in the review, articles had to be peer-reviewed, available in full text, and published in French or English. For inclusion, studies were required to pertain to adolescents aged between 11 and 18 years; to focus on social network site use and indicate how their use was estimated. Studies that simultaneously examined social network sites and general internet use or video games and only provided a combined analysis were excluded. The keywords for the search were: social media use, social media usage, social media misuse, measure, teen, and adolescents. RESULTS: In the literature, different methods were used to operationalize the use of social network sites: quantitative methods with the measurement of frequency and duration of use of social network sites, and qualitative methods to measure the different activities adolescents engage in on such sites. In this review, 28 articles investigated the use of social media through a measurement of frequency and 22 articles through a measurement of the duration of use. Most of the studies focused on social network sites in general, without specifying which sites in particular were considered by the respondents when answering the question. However, some articles provided cross measures of quantitative and qualitative measurements resulting in the examination of both the frequency of use and the time spent on specific activities on social network sites. CONCLUSIONS: The present review highlights the great diversity in the methods used to measure the use of social network sites among adolescents. The reliance on frequency-based measurements without taking into account the specificities of the activities or sites involved limits the investigation of their impact on adolescent functioning and behaviors. Given the observed discrepancies in the literature concerning the measurement of social network site use among adolescents and their associated biases, the development of specific instruments is needed to advance in this important field of research.

[Investigating the relationship between social media use and body image among adolescents: A systematic review]. / Lien entre usage des réseaux sociaux et image corporelle chez les adolescents : une revue systématique de la littérature.

OBJECTIVES: This study aimed to update the scientific knowledge concerning the relationship between the use of social networking sites and body image among adolescents. METHODS: A preregistered systematic review was conducted following PRISMA guidelines and allowed to include 30 peer-reviewed articles for qualitative analysis, consisting of 26 unique samples (n=31,331; Mage=14.89; SDage=1.07). The search was conducted on Pubmed, PsychInfo and Scopus focusing on studies that included any social network site use and body image measures while being based on general population adolescent samples. Social networking site use referred: 1) to any online activities such as browsing, posting, editing selfies, liking, commenting; 2) to any exposure to appearance-related content; or 3) to a measure of frequency use. The scope of social networking sites considered in the present review was extended to online video-sharing platforms and online dating applications due to their relationship with appearance. Body image as considered through MeSH terms referred to a wide range of possible outcomes including body and facial dissatisfaction, dysmorphophobia, body surveillance, self-objectification, body shame, weight concerns, self-monitoring. Any mental health outcome was extracted when available although its absence was not an exclusion criterion.. RESULTS: Among the 30 studies included in the review, 22 were cross-sectional, seven were longitudinal and one had an experimental design. Overall, among studies based on unique samples, 18 studies included both males and females (n=28,081; Mage 14.84; SDage=1.06), seven were based exclusively on female samples (n=2,507; Mage 14.87; SDage=1.19), while one study recruited only male adolescents (n=743; Mage 15.90; SDage=0.54). Only six studies were based on representative samples. These studies reported a robust association between frequency of social networking site use and negative body image among both females and males. In addition, exposure to appearance-related content was also deleterious to body image. The association between the use of social media and negative body image may involve negative mental health outcomes, such as depressive symptoms, low body esteem and problematic use of social media. Measuring specific activities on social network sites or exposure to appearance-related content (e.g. selfies editing; selfies posting) may be more accurate than using a frequency of overall use (e.g. during the past month) when predicting body image. Studies addressing underlying processes supported that the relationship between use of social media and body image may not be direct but rather involve intermediary steps on both cognitive and social levels, namely internalization of the thin ideal, self-objectification, peer appearance-related feedback, ascendant social comparison with peers and celebrities. Also, it remains unclear whether mental health mediates this relationship. CONCLUSIONS: The association between the use of social networking sites and negative body image is robustly supported in the literature. However, studies measuring frequency of overall use may instead be predicting negative body image with a nested measure of the use of social network sites, namely specific activities involving appearance-related content. Due to the observed discrepancies between self-reported frequency of social networking site use and actual use in methodological literature, future research may rather measure behaviors commonly encountered on a given platform. Furthermore, there is a need to distinguish specific site categories such as highly visual social media when focusing on body image outcomes. . Focusing on specific social media platforms may in turn lead to more targeted prevention regarding a safe utilization of social networking sites among adolescents. Despite the growing body of research concerning the association between social media and body image, the current review underlines that additional longitudinal and experimental studies are needed to investigate potential bidirectional effects, as well as studies based on representative samples to improve generalization to adolescent populations.

[Social media and its impact on ophthalmology training]. / Réseaux sociaux : quel impact sur la formation en ophtalmologie ?

For the past ten years or so, the emergence of social media has disrupted modes of communication and social interaction, in both the personal and professional arenas; it also plays a major role in medical education. The goal of our work is to assess the current degree of use of social media by ophthalmology residents and its effect on the learning process. Our results show that social media were used by all the residents interviewed; the mean time spent on social media was 3.08±1.98 hours per day, of which 1.08±1.014 minutes were devoted to education; over half of the residents use social media between one and two hours per day for medical education. YouTube is the most widely used social network for medical education, followed by Instagram and Facebook. Ninety-eight percent feel that social media can improve their training; 92% feel that social media may become increasingly more important in medical education.

[Telemedicine and social Media in the management of ECMOs in the era of COVID-19: The Tunisian experience]. / La télémédecine et les réseaux sociaux dans la gestion des ECMO à l'ère de COVID-19 : l'expérience Tunisienne.

INTRODUCTION: In Tunisia, as elsewhere in the world, severe forms of acute respiratory distress syndrome (ARDS) related to SARS-Covid19 have been observed. When the usual means of resuscitation were no longer sufficient, the implementation of the Extracorporeal membrane oxygenation or ECMO was needed. AIM: The whole problem of the management of these patients in this pandemic period has been to manage the operation of the ECMO machine, usually reserved for expert and specialized centers in the field. METHODS: The cardio-vascular surgery department of La Rabta teaching hospital of Tunis has tried the experience of management of ECMO implanted in the different reanimations of Tunis, remotely, using telemedicine and social networks. Thus, a Facebook-Messenger discussion group was created and enabled the management of patients under ECMO via video conferencing in real time involving all stakeholders. RESULTS: A call was made whenever the physician needed it. The video provided an opportunity to discuss with surgeons and perfusionists in real time the complications or problems of these patients. Their clinical status was continuously shared on the focus group. Following the instructions of the expert surgeons and the exchanges made on the group, the reanimator could then intervene on this or that parameter. CONCLUSION: Social media have invaded everyone's daily lives and health professionals are not exception to this trend. The Covid-19 pandemic has only strengthened this digital alternative with the goal of efficiency and patient interest. While their use in a professional setting offers many advantages, it must nevertheless be done in compliance with the rules of ethics and bring real added value.

[Impact of Facebook patient groups in the surgical decision making process: The example of Biocell® macro-textured implants recall]. / Impact des groupes de patientes Facebook dans le processus décisionnel chirurgical : l'exemple du rappel des implants macro-texturés Biocell®.

BACKGROUND: The use of social media, has been a major upheaval in our lifestyles in the last decade. At the forefront in the crisis of BIA-ALCL, as soon as February 2019, our university centre took steps to identify and contact all patients with macro-textured implants. The purpose of this recall was to educate patients and establish a monitoring system. The purpose of this work is to analyse the patients' decision-making process. METHODS: A retrospective study of patients, who requested and attended appointments with a surgeon, was made. The number of patients with clinical symptoms of BIA-ALCL, the number of patients who requested implant removal surgery, the histological diagnoses found after surgery were collected. We then calculated the proportion of Facebook group members among patients who required implant removal in the absence of a diagnosis or even warning signs. RESULTS: Seven hundred and seventy women requested an appointment with one of the surgeons in our department. Of all the women who requested consultation, 497 (64.55%) had symptoms. 199 patients were members or had attended one of the Facebook groups of patients. At the end of the consultation with their surgeon, almost 25% of patients made a decision to have the implant removed against medical advice. Among these patients, 67% were part of a group of patients on the Facebook network. To date, no patient has been diagnosed with BIA-ALCL. CONCLUSIONS: These results support the hypothesis that belonging to Facebook groups of patients becomes, for some, a key element in the decision-making process beyond expert opinion. In the future, preliminary work with patient groups on social networks should be done in order to obtain additional health efficiency.

Role of Policy in Best-Practice Dissemination: Informal Professional Advice Networks in Canadian Long-Term Care.

This article examines provincial policy influence on long-term care (LTC) professionals' advice-seeking networks in Canada's Maritime provinces. The effects of facility ownership, geography, and region-specific political landscapes on LTC best-practice dissemination are examined. We used sociometric statistics and network sociograms, calculated from surveys with 169 senior leaders in LTC facilities, to identify advice-seeking network structures and to select 11 follow-up interview participants. Network structures were distinguished by density, sub-group number, opinion leader, and boundary spanner distribution. Network structure was affected by ownership model in Nova Scotia and Prince Edward Island, and by regional geography in New Brunswick. Political instability within each province's LTC system negatively affected network actors' capabilities to enact innovation. Moreover, provincial policy variations influence advice-seeking network structures, facilitating and constraining relationship development and networking. Consequently, local policy context is essential to informing dissemination strategy design or implementation.

Afinal, onde está o falo? Os caminhos traçados por sua eterna busca / After all, where is the phallus? The paths traced by its eternal search / Al final, ¿dónde está el falo? Los caminos trazados por su eterna búsqueda? / Après tout, où est le phallus? Les chemins tracés par sa recherche éternelle

A histeria, primeira temática freudiana e força motriz do desenvolvimento da psicanálise, atualmente é vista como um "fenômeno de massa", que acompanha a crescente relevância da imagem pessoal. Pelo poder camaleônico da histeria, a renovação de suas construções é constante e, nos dias atuais, liga-se ao enorme papel das redes sociais na vida dos sujeitos. A virtualidade dessa nova forma de laço social nos convoca a pensar nos perfis on-line como verdadeiras construções identitárias, acompanhadas da aplicação de filtros para adequação aos padrões de beleza plena, e do aumento significativo das buscas por intervenções cirúrgicas no Brasil. A vida nas redes mostra aquilo que se deseja ser ao permitir a escolha dos conteúdos a serem publicados, tornando possível a tentativa de mascarar aquilo que falta e sustentar a ilusão de possuir um corpo completo, característica marcante da histeria. Dessa forma, no presente trabalho, nos propomos a discutir as apresentações histéricas não como uma patologia, mas como marcas da cultura atual.

Hysteria, the first Freudian theme and driving force in the development of psychoanalysis, is currently seen as a "mass phenomenon", which accompanies the growing relevance of personal image. Due to the chameleonic power of hysteria, the renovation of its constructions is constant and, nowadays, it is linked to the enormous role of social networks in the lives of subjects. The virtuality of this new form of social bond invites us to think of online profiles as true identity constructions, accompanied by the application of filters to adapt to the standards of full beauty, and the significant increase in searches for surgical interventions in Brazil. Life on the networks shows what you want to be by allowing the choice of content to be published, making it possible to attempt to mask what is missing and sustain the illusion of having a complete body, a hallmark of hysteria. Thus, in the present work, we propose to discuss hysterical presentations not as a pathology, but as marks of the current culture.

La histeria, primer tema freudiano y motor del desarrollo del psicoanálisis, actualmente se ve como un "fenómeno de masas", que acompaña la creciente relevancia de la imagen personal. Debido al poder camaleónico de la histeria, la renovación de sus construcciones es constante y, hoy en día, está ligada al enorme papel de las redes sociales en la vida de los sujetos. La virtualidad de esta nueva forma de vínculo social invita a pensar en los perfiles online como verdaderas construcciones de identidad, acompañados de la aplicación de filtros para adaptarse a los estándares de la belleza plena, y el aumento significativo de las búsquedas de intervenciones quirúrgicas en Brasil. La vida en las redes muestra lo que quieres ser al permitir la elección de los contenidos a publicar, lo que posibilita intentar enmascarar lo que falta y mantener la ilusión de tener un cuerpo completo, sello de la histeria. Así, en el presente trabajo nos proponemos discutir las presentaciones histéricas no como patología, sino como marcas de la cultura actual.

L'hystérie, premier thème freudien et moteur du développement de la psychanalyse, est actuellement perçue comme un « phénomène de masse ¼, qui accompagne la pertinence croissante de l'image personnelle. En raison de la capacité caméléonique de l'hystérie, la rénovation de ses constructions est constante et a été liée au grand rôle des réseaux sociaux dans la vie des gens. La virtualité de cette nouvelle façon de mettre en relation nous appelle à réfléchir sur les profils en ligne comme un type de construction identitaire, accompagnée de l'application de filtres pour s'adapter aux standards de beauté, mais aussi de l'augmentation significative des interventions chirurgicales au Brésil. La vie sur les réseaux montre ce que vous voulez être lors de la sélection du contenu publié. De cette manière, il permet de masquer ce qui manque au sujet, et d'entretenir l'illusion d'avoir un corps complet, marque d'hystérie. Dans cet article, nous proposons de discuter des présentations hystériques non pas comme une pathologie, mais comme une caractéristique de la culture actuelle.

Influence of information sources on vaccine hesitancy and practices.

INTRODUCTION: Many factors influence vaccination practices and attitudes. This study aimed to identify vaccine information sources used by parents of children aged 1-15 years to get a better understanding of the relation between vaccine information sources, practices for two vaccines (MMR, HBV), vaccine acceptance, and vaccine hesitancy. METHODS: A total of 3938 parents, drawn by random sampling, were interviewed by telephone as part of the "2016 health barometer" survey. Vaccine information sources were described and analyzed according to socio-demographic variables. Multivariate logistic regression models were then built to explain vaccine information sources usage, vaccination practices and attitudes. RESULTS: Healthcare professionals (HCP), the Internet, and relatives were the three main vaccine information sources. Vaccination practices and acceptance were better when parents were getting information from HCPs compared with parents getting information from the Internet or relatives. Besides, getting information from the three different types of sources was associated with the highest rate of vaccine hesitancy: 70.9% (OR=4.6; P<0.0001) versus 34.6% among parents getting information from HCPs only. CONCLUSION: Those results suggest an interest in providing quality information about vaccination on the Internet. The primary role of HCPs in vaccination decision is once again demonstrated.

[French academic dermatology on Twitter]. / La dermatologie académique française sur Twitter.

INTRODUCTION: Dermatology journals and professional organizations are gradually opening up to social networks. We reviewed the activity of key accounts of dermatology journals and societies on Twitter and compared them specifically to the activity of French accounts. PATIENTS AND METHODS: This was an observational study on two given days, December 1, 2018 and May 3, 2019, involving 21 Twitter accounts of journals, of which all 17 were in dermatology, and 19 accounts of professional dermatology organizations, including 5 French accounts. The following data was collected: number of subscriptions, number of subscribers, total number of tweets, number of monthly tweets, and account activity (number of "likes", percentage of increase in subscribers and messages between the two studied periods). For the journals, we collected the 2017 Journal Impact Factor (WebofScience). RESULTS: The most popular dermatology journals on Twitter were JAMADermatology, JAAD and the BritishJournalofDermatology. There was a positive correlation between the impact factor and the number of subscribers (P=0.009, Pearson 0.714) and the number of tweets (P=0.001, Pearson 0.815), as well as a correlation between the number of subscribers and the number of tweets (P<0.001, Pearson 0.828). The American Dermatology Association, with two accounts, had 21,800 subscribers and 9814 subscribers. The Spanish Dermatology Association was second (6124 subscribers), ahead of the British (4833 subscribers). For France, the account with the most subscribers was that of the Union of Dermatologists-Venereologists (952 subscribers). The French Society of Dermatology had a modest 163 subscribers but was active, with a 47% increase in the number of tweets and a 49.5% increase in the number of subscribers. We found a positive correlation between the number of subscribers and the total number of tweets (P=0.006, Pearson 0.602) as well as the number of "likes" (P=0.02, Pearson 0.530). There was a correlation between the number of tweets and the number of "likes" (P<0.001, Pearson=0.897). CONCLUSION: There are many benefits for journals and professional associations in being present on social networks. However, we feel that there is striking under-use by French dermatology, as evidenced in the example of Twitter.

[Suggestion for recommendations for the wise use of social media in French internal medicine - take control of online reputation]. / Utilisation avisée des réseaux sociaux pour la gestion de la e-réputation des médecins internistes français ­ proposition de recommandations.

Social networks (or SoMe) expanded exponentially over the last ten years, including healthcare. SoMe have changed the doctor's daily life and the relationship with patients. Poor management of SoMe can impact on "e-reputation". On the other hand, the proper use of SoMe allows the opening up of new functionalities in both clinical and research settings. Several scientific societies have made recommendations for the proper handling of SoMe in order to protect the personal information and privacy of physicians. Professionals are advised to differentiate between a professional account and a personal account. Confidentiality settings and certain "codes" for managing publications must be followed. Physicians must be aware that their publications are indelible and can damage their "e-reputation". The proper handling of SoMe will allow internists to organize their bibliographic monitoring, increase the altmetric of their articles, facilitate communication between researchers and modify the relationship with their patients.