SummaryShort sleep duration is associated with obesity in young children. This study develops the hypothesis that parental rules play a role in this association. Participants were 3-year-old children and their parents, recruited at nursery schools in socioeconomically deprived and non-deprived areas of a North-East England town. Parents were interviewed to assess their use of sleep, television-viewing and dietary rules, and given diaries to document their child's sleep for 4 days/5 nights. Children were measured for height, weight, waist circumference and triceps (...) and subscapular skinfold thicknesses. One-hundred and eight families participated. Parental rules were significantly associated together, were associated with longer night-time sleep and were more prevalent in the non-deprived-area compared with the deprived-area group. Television-viewing and dietary rules were associated with leaner body composition. Parental rules may in part confound the association between night-time sleep duration and obesity in young children, as rules cluster together across behavioural domains and are associated with both sleep duration and body composition. This hypothesis should be tested rigorously in large representative samples. (shrink)
Caroline of Ansbach, wife of George II, occupied a crucial position in the public life of early 18th-century Britain. She was seen to exert considerable influence on the politics of the court and, as mother to the Hanoverian dynasty's next generation, she became an important emblem for the nation's political well-being. This paper examines how such emblematic significance was challenged and qualified when Caroline's body could no longer be portrayed as healthy and life giving. Using private memoirs and (...) correspondence from the time of her death in 1737, the paper explores the metaphorical potential of the queen's strangulated hernia, as well as the particular problems it posed for the public image of her dynasty. Through these investigations, the paper will comment upon the haphazard nature of public discussion in the early 18th century, and reveal the complex relationship between political speculation and medical diagnosis. (shrink)
This systematic review identifies and critically evaluates instruments that have been developed to measure clinical trial informed consent comprehension in non-cognitively-impaired adults. Literature searches were carried out on Medline, PsycInfo, CINHAL, ERIC, ScienceDirect, and Cochrane Library for English language articles published between January 1980 and September 2008. Instruments were excluded if they focused on consent onto paediatric trials, the construct under study was primarily capacity or competency, or the instrument was developed specifically for psychiatric or cognitively-impaired populations. Instruments selected for (...) review were evaluated against the following criteria: method of item generation; type and format of test items; administration and interpretation of test results; and psychometric properties. Three instruments met our defined inclusion criteria: the Deaconess Informed Consent Comprehension Test, the Quality of Informed Consent questionnaire and the Brief Informed Consent Protocol. Each instrument varied in terms of content measured. Significantly, these are the first standardized instruments developed to assess comprehension in non-cognitively-impaired adults. Yet, each instrument had its own set of limitations such as the lack of generalizability and the absence of details pertaining to how test results should be used to guide clinical decision-making. Standardized clinical trial informed consent comprehension assessments have been developed to identify gaps in research participants' understanding and ensure that respect for patient autonomy is satisfied. (shrink)
Ambrosianus B 165 sup., a 14th-cent. Constantinopolitan manuscript containing Proclus' In Parmenidem, was once owned by the Cardinal Bessarion, who has read, corrected and annotated the text with remarkable care. In this contribution, we provide an analysis of Bessarion's work on this manuscript, thus offering a case-study of his philological method. We also discuss some quotations from this text in Bessarion's works, which testify to the importance of his knowledge of Proclus for his own writings. In addition, Bessarion's Greek scholia (...) on books II and III of Proclus' commentary are edited here for the first time. (shrink)
Le critère d’absence d’envie, introduit par J. Tinbergen et utilisé par certaines théories de la justice distributive, ne permet pas, dans tous les cas, d’identifier des allocations de biens respectant l’exigence de pareto-optimalité. Pour cette raison il a été, durant un temps, délaissé. Néanmoins, ce critère demeure utile dans certains contextes dont nous voudrions préciser les caractéristiques. En effet, plusieurs travaux récents d’économie normative ont montré que, sous certaines conditions et même dans un contexte de production, l’absence d’envie offre une (...) solution à la recherche d’allocations équitables. Ainsi, nous voudrions examiner, à partir de ces résultats, sous quelles conditions le champ d’application du critère d’absence d’envie peut être étendu, en vue d’identifier des allocations équitables, dans un contexte économique d’échange comme de production.The non envy criterium, introduced by Tinbergen and convoqued by some theories of justice, cannot always be used to identify allocations which also satisfy the requirement of Pareto-optimality. This is the reason why it had been neglected for a while. Nevertheless, it is still useful in some contexts we would like to describe. In fact, recent conclusions of normative economy demonstrated that, in some conditions and even in the framework of production, this criterium provide a solution for fair allocations. Precisely, we would like, on the basis of these results, to determine which extent has the implementation of non envy criterium in order to identify fair distributive allocations in a context of exchange and production as well. (shrink)
Dans les formes contemporaines de gouvernance éthiquement significative, on insiste sur l’attention accordée, dans le dialogue et dans la délibération, aux personnes autres que les décideurs et les experts. Cela est illustré par l’expérience des « États généraux de la bioéthique » en France, en 2009. Dans ce processus, toutefois, les représentations sous-jacentes de l’éthique, de l’État et du règne du droit ont comme résultat un ensemble de contraintes significatives sur les possibilités d’incorporer dans les choix sociaux les opinions exprimées (...) par les citoyens des panels sélectionnés. De plus, le processus de dialogue réserve un rôle important à des « Grands témoins » choisis qui utilisent leur expertise pour délimiter les interprétations tolérables des principes de référence et les occasions de procéder à des compromis acceptables. Cela produit une configuration de la discussion dans laquelle l’expertise empirique spécialisée et l’expérience personnelle, non moins que les attitudes épistémologiques et les représentations du « naturel », jouent un rôle crucial. En conséquence, la distinction entre l’expertise spécialisée et la discussion éthique ouverte se trouve relativisée, bien que l’ensemble du processus s’appuie sur elle. (shrink)
Au cours des dernières années, plusieurs maternités parisiennes ont vu croître le nombre de refus d'interruption médicale de grossesse (IMG) dans des cas de pronostic vital néonatal péjoratif ou induisant un handicap très sévère. Ces refus d'IMG sont à la source de tensions entre les parents et les membres des équipes médicales concernées. Nous proposons dans ce qui suit plusieurs arguments éthiques et une analyse de ces dilemmes moraux justifiant que soient pleinement pris en compte les préférences morales des parents (...) qui refusent ces interruptions de grossesse. (shrink)
Cet article analyse les débuts de la Revue du Mois, revue de culture générale à caractère scientifique créée en 1905 par le mathématicien Émile Borel. À une période où des périodiques de format similaire se multiplient, l’originalité de l’entreprise réside dans l’association d’articles présentant à un large public les enjeux des recherches récentes, et de thèmes plus légers, comme des chroniques théâtrales et littéraires. En examinant la préparation des premiers numéros, l’article dévoile les intentions et la mise en acte de (...) ce projet. Il étudie notamment comment a été définie la ligne éditoriale, comment ambition scientifique et vocation généraliste ont pu coïncider, et comment la revue est parvenue à conquérir son public. (shrink)
The National Library of France owns an uncommon illuminated manuscript of the Book of Job : the Parisinus graecus 135. Written in Greek in 1361/62, it is illustrated with a very large iconographic cycle , which combines Byzantine and gothic styles. The examination of the historical background allows us to bring forth the general meaning of the manuscript and to locate its origin with some probability in the Papal entourage and the Byzantine latinophile circles. The analysis of the iconographic cycle (...) of the manuscript shows that it is likely inspired by the theology developed in the literal commentary of Thomas of Aquinas on the Book of Job. Remarkably, this author is intensively translated in Greek in the middle of the fourteenth century in Byzantium under the aegis of the Emperor John VI Cantacuzenus. (shrink)