[The contribution of the psychologist in the spiritual care of patients and their relatives].

Often ignored, reduced or refuted by caregivers, the patient's spiritual dimension should be fully integrated into the support offered to him. In no way reducible to religion, it relates to what is most profound as a singular being, and as such, the intervention of the psychologist can be particularly helpful.

Advance directives in France: do junior general practitioners want to improve their implementation and usage? A nationwide survey.

Background: The doctor-patient relationship has evolved to respect "the autonomy and patients' rights". One of the cornerstones in such autonomy is the opportunity for patients to draw living wills, also known as advance directives (AD). However, information about AD available to patients remains scarce largely due to the lack of involvement of General practitioners for several reasons.

Ventilator-associated pneumonia: The central role of transcolonization.

Ventilator-associated pneumonia remain frequent and serious diseases since they are associated with considerable crude mortality. Pathophysiology is centered on modifications of regional bacterial flora, especially tracheobronchial tree and oropharyngeal sphere. Bacterial migration from an anatomical area to another seems to be the main explanation of these alterations which are called "transcolonization".