Background: Informed consent in clinical research is mandated throughout the world. Both patient subjects and investigators are required to understand and accept the distinction between research and treatment.Aim: To document the extent and to identify factors associated with therapeutic misconception in a population of patient subjects or parent proxies recruited from a variety of multicentre trials .Patients and methods: The study comprised two phases: the development of a questionnaire to assess the quality of informed consent and a survey of patient (...) subjects based on this questionnaire.Results: A total of 303 patient subjects or parent proxies were contacted and 279 questionnaires were analysed. The median age was 49.5 years, sex ratio was 1 and 61% of respondents were professionally active. Overall memorisation of the oral or written communication of informed consent was good , and satisfaction with the process was around 70%. Therapeutic misconception was present in 70% of respondents, who expected to receive better care and ignored the consequence of randomisation and treatment comparisons. This was positively associated with the acuteness and severity of the disease.Conclusion: The authors suggest that the risk of therapeutic misconception be specifically addressed in consent forms as an educational tool for both patients and investigators. (shrink)

Depuis les années 1960, Gilbert Durand a fondé et développé une méthodologie et une épistémologie novatrices de l'étude des imaginaires individuels et culturels qui ont inspiré une Ecole de Grenoble, qui n'a cessé d'essaimer à travers un grand nombre de centres de recherches en France et dans le monde. Sa pensée, connue à travers la mythocritique et la mythanalyse, enrichie par une vaste culture historique et pluriculturelle, a été appliquée dans les domaines les plus divers des sciences humaines et (...) sociales. Loin d'être un système clos, son oeuvre a inspiré une épistémologie ouverte qui a permis, sur la base des acquis fondamentaux, de se préciser, de s'adapter à des champs nouveaux, de recevoir les apports d'autres écoles, courants ou traditions culturelles. Les contributions ici rassemblées permettront de mieux situer l'émergence de la problématique de l'imaginaire dans différentes disciplines ou champs d'études, de présenter les innovations théoriques apportées par l'anthropologie de l'imaginaire de G Durand, d'illustrer les innovations qu'elles auront permises, d'amorcer des éléments de prospective pour les chantiers actuellement en cours d'exploration. (shrink)

We study the minimal complexity of tilings of a plane with a given tile set. We note that every tile set admits either no tiling or some tiling with.

This paper is concerned with the description of the process of measurement within the context of a quantum theory of the physical world. It is noted that quantum mechanics permits a quasi-classical description (classical in the limited sense implied by the correspondence principle of Bohr) of those macroscopic phenomena in terms of which the observer forms his perceptions. Thus, the process of measurement in quantum mechanics can be understood on the quasi-classical level by transcribing from the strictly classical observables of (...) Newtonian physics to their quasi-classical counterparts the known rules for the measurement of the former. The remaining physical problem is the delineation of the circumstances in which the correlation of a peculiarly quantum mechanical observable A with a classically measurable observable B can result in a significant measurement of A. This is undertaken within the context of quantum theory. The resulting clarification of the process of measurement has important implications relative to the philosophic interpretation of quantum mechanics. (shrink)

To be able to make “change” happen in the lives of patients entrusted to his care, Watzlawick says he tried to produce a theory about it. He was forced to acknowledge that the mechanisms of change resist systematization and, therefore, all wishes to elicit them as well.Well-being is to therapy what discovery is to thought and the event is to History: the position – unforeseen, unforeseeable – in reality of what did not hitherto exist. And heuristics would be, if not (...) a science, since there could be no science of change, then at least the name given to reflection on its mystery. (shrink)

Organismal death is foundational to the evolution of life, and many biological concepts such as natural selection and life history strategy are so fashioned only because individuals are mortal. Organisms, irrespective of their organization, are composed of basic functional units—cells—and it is our understanding of cell death that lies at the heart of most general explanatory frameworks for organismal mortality. Cell death can be exogenous, arising from transmissible diseases, predation, or other misfortunes, but there are also endogenous forms of death (...) that are sometimes the result of adaptive evolution. These endogenous forms of death—often labeled programmed cell death, PCD—originated in the earliest cells and are maintained across the tree of life. Here, we consider two problematic issues related to PCD (and cell mortality generally). First, we trace the original discoveries of cell death from the nineteenth century and place current conceptions of PCD in their historical context. Revisions of our understanding of PCD demand a reassessment of its origin. Our second aim is thus to structure the proposed origin explanations of PCD into coherent arguments. In our analysis we argue for the evolutionary concept of PCD and the viral defense-immunity hypothesis for the origin of PCD. We suggest that this framework offers a plausible account of PCD early in the history of life, and also provides an epistemic basis for the future development of a general evolutionary account of mortality. (shrink)

Résumé L’équilibre des forces (le pape, l’empereur, le corps épiscopal) fut plus apparent que réel à Chalcédoine. Sa définition n’en a pas moins sa validité permanente : empêcher d’occulter la réalité humaine du Christ, tout en tenant qu’il est « un seul et le même » avec le Verbe. Deux christologies savantes, celle d’Antioche et celle d’Occident résumée par Léon, se sont ici heurtées et combinées avec la vision de la personne du Christ se constituant à Alexandrie, formulée non sans (...) imprécision par Cyrille. Refus par certains orientaux des « deux natures après l’union » pour « une seule nature incarnée du Verbe ». « Jacobites » et « melkites ». Éclaircissement de Constantinople II (553) relativement à la notion d’hypostase. Situation actuelle de la christologie chalcédonienne. (shrink)

Programmed cell death (PCD) in unicellular organisms is in some instances an altruistic trait. When the beneficiaries are clones or close kin, kin selection theory may be used to explain the evolution of the trait, and when the trait evolves in groups of distantly related individuals, group or multilevel selection theory is invoked. In mixed microbial communities, the benefits are also available to unrelated taxa. But the evolutionary ecology of PCD in communities is poorly understood. Few hypotheses have been offered (...) concerning the community role of PCD despite its far-reaching effects. The hypothesis we consider here is that PCD is a black queen. The Black Queen Hypothesis (BQH) outlines how public goods arising from a leaky function are exploited by other taxa in the community. Black Queen (BQ) traits are essential for community survival, but only some members bear the cost of possessing them, while others lose the trait In addition, BQ traits have been defined in terms of adaptive gene loss, and it is unknown whether this has occurred for PCD. Our conclusion is that PCD fulfils the two most important criteria of a BQ (leakiness and costliness), but that more empirical data are needed for assessing the remaining two criteria. In addition, we hold that for viewing PCD as a BQ, the original BQH needs to include social traits. Thus, despite some empirical and conceptual shortcomings, the BQH provides a helpful avenue for investigating PCD in microbial communities. (shrink)

In multicellular organisms, cells are frequently programmed to die. This makes good sense: cells that fail to, or are no longer playing important roles are eliminated. From the cell’s perspective, this also makes sense, since somatic cells in multicellular organisms require the cooperation of clonal relatives. In unicellular organisms, however, programmed cell death poses a difficult and unresolved evolutionary problem. The empirical evidence for PCD in diverse microbial taxa has spurred debates about what precisely PCD means in the case of (...) unicellular organisms. In this article, we survey the concepts of PCD in the literature and the selective pressures associated with its evolution. We show that definitions of PCD have been almost entirely mechanistic and fail to separate questions concerning what PCD fundamentally is from questions about the kinds of mechanisms that realize PCD. We conclude that an evolutionary definition is best able to distinguish PCD from closely related phenomena. Specifically, we define “true” PCD as an adaptation for death triggered by abiotic or biotic environmental stresses. True PCD is thus not only an evolutionary product but must also have been a target of selection. Apparent PCD resulting from pleiotropy, genetic drift, or trade-offs is not true PCD. We call this “ersatz PCD.”. (shrink)

This contribution presents an adult education workshop implemented in the field of early childhood education. One of the specificities of education and care practices lies in the competences of the professionals to give a central role to the detailed observation of situations, in order to adjust their modalities of action. How can such observational work be developed and transformed? A participatory research-training approach aims to support the co-construction of an analytical view on observable phenomena in the course of interactions. In (...) a perspective of interactional analysis, it focuses on the modalities that favor the construction of such an analytical posture. (shrink)

Mates’s Puzzle has flown below many philosophers’ radar, despite its relations to both Frege’s Puzzle and the Paradox of Analysis. We explain the relations amongst these puzzles on the way to arguing that Mates’s Puzzle suggests a generalization of Frege’s Puzzle, and of the sense-reference distinction itself, in the form of hierarchy of senses. We explain how Mates’s Puzzle and the hierarchy, to different degrees, illuminate each other, and how their connection is missed in the literature. However, we argue that (...) the potential of Mates’s Puzzle to illuminate the hierarchy is yet to be fully actualised. We suggest that in order to do better, we need to formulate Mates’s Puzzle as a puzzle in the philosophy of thought and not as puzzle in the philosophy of language. What is needed, to which the present paper is a precursor, is an account of the cognitive significance of higher-order senses. (shrink)

Résumé Rivalité des sièges, rapports de force entre le pouvoir civil, le corps épiscopal et la papauté dans l’histoire des conciles. Le mot homoousios : son origine, son insertion au symbole de Nicée, l’importance que lui donne Athanase. Amertume de Grégoire de Nazianze après Constantinople I, due à des offenses personnelles et au défaut d’exigences dogmatiques à l’égard des courants pneumatomaque et apollinariste. Utilisation de Theotokos à Éphèse par Cyrille, progrès de l’influence de celui-ci jusqu’en 444. L’expression « en deux (...) natures » de Chalcédoine a peut-être permis d’exclure Dioscore. (shrink)

The Type VI secretion system is a multiprotein and mosaic apparatus that delivers protein effectors into prokaryotic or eukaryotic cells. Recent data on the enteroaggregative Escherichia coli T6SS have provided evidence that the TssA protein is a key component during T6SS biogenesis. The T6SS comprises a trans-envelope complex that docks the baseplate, a cytoplasmic complex that represents the assembly platform for the tail. The T6SS tail is structurally, evolutionarily and functionally similar to the contractile tails of bacteriophages. We have shown (...) that TssA docks to the membrane complex, recruits the baseplate complex and initiates and coordinates the polymerization of the inner tube with that of the sheath. Here, we review these recent findings, discuss the variations within TssA-like proteins, speculate on the role of EAEC TssA in T6SS biogenesis and propose future research perspectives. In the environment, bacteria have to cope with other microbial species and therefore have evolved anti-microbial mechanisms. The bacterial Type VI secretion system transports toxins into bacterial and/or eukaryotic cells using a contractile mechanism. At the architectural level, the T6SS could be viewed as a nano-speargun assembled in the bacterial cytoplasm and anchored to a trans-envelope complex. We describe and speculate on recent findings demonstrating that the TssA subunit is involved in the different stages of T6SS biogenesis. (shrink)

Résumé – Nous nous intéressons à l’enseignement et l’apprentissage de l’infini en classe de mathématiques en considérant les différences et les relations entre infini potentiel et infini actuel. Nous présentons les principaux éléments de notre étude philosophique, épistémologique et didactique, ainsi que trois situations visant à conduire un travail explicite avec les élèves sur ces questions en début de lycée. ---------------------------------------------------------------------------------------------------- --------------------------------- Abstract – We are interested in the teaching and learning of infinite in mathematics class, taking into account the relations (...) between potential infinite and actual infinite. We report the main elements of our current philosophical, epistemological and didactical study; we also present three mathematical situations that we consider relevant for this purpose and to be explored with 10 and 11 grade students. (shrink)

In 1952, Heinrich Scholz published a question in The Journal of Symbolic Logic asking for a characterization of spectra, i.e., sets of natural numbers that are the cardinalities of finite models of first order sentences. Günter Asser in turn asked whether the complement of a spectrum is always a spectrum. These innocent questions turned out to be seminal for the development of finite model theory and descriptive complexity. In this paper we survey developments over the last 50-odd years pertaining to (...) the spectrum problem. Our presentation follows conceptual developments rather than the chronological order. Originally a number theoretic problem, it has been approached by means of recursion theory, resource bounded complexity theory, classification by complexity of the defining sentences, and finally by means of structural graph theory. Although Scholz' question was answered in various ways, Asser's question remains open. (shrink)

Denyse et Philippe Durand-Ruel commencent leur collection de tableaux et d’objets d’art au début des années soixante : ils héritent alors d’une partie de la collection de tableaux impressionnistes qui avait été constituée par l’arrière-grand-père de Philippe Durand-Ruel. Ils décident de poursuivre cette collection. Leur intention première était de faire le lien entre le temps des impressionnistes et l’époque contemporaine, mais ils se rendent rapidement compte que des peintres comme Picasso...

Reprise d’un article de G. Durand initialement paru en 1963 dans les Cahiers internationaux de symbolisme. L’auteur examine trois périodes de la culture occidentale où l’image et l’imagination ont été dévalorisées au profit de la pensée rationnelle : le conceptualisme aristotélicien déformé par l’averroïsme médiéval, le dogmatisme de l’Église chrétienne d’Occident opposé à l’iconodulie byzantine, le scientisme issu de la pensée de Descartes. L’analyse conduit à une nouvelle théorie du symbole conçu comme pouvoir heuristique des images. Reprint of an (...) article by G. Durand originally published in 1963 in the Cahiers internationaux du symbolisme. The author examines three periods of Western culture where the image and imagination were devalued in favor of rational thinking: the Aristotelian conceptualism distorted by medieval averroism, the dogmatism of the western Christian Church opposed to the byzantine icons, the modern scientism derived from the thought of Descartes. This analysis leads to a new theory about the symbols, conceived as a creative thinking and an heuristic power of images. (shrink)

Les sciences humaines sont en crise. Psychologies, sociologies, histoire et ethnologies ont confondu leur visée, l'Homo sapiens, avec une méthode unidimensionnelle héritée d'une physique périmée depuis l'apparition du " Nouvel Esprit Scientifique ". Gilbert Durand constate que cet échec péremptoire n'est dû qu'à un mirage pédagogique. A travers les recherches de pointe des anthropologues renaît l'aurore de retrouvailles avec le destin immémorial de l'Homo sapiens. Nous assistons progressivement à la résurgence d'une " Science de l'homme " qui, dans sa (...) singularité, retrouve bien des données transmises par les savoirs traditionnels : là où la Méthode exerçait son emprise totalitaire, le pluralisme des singularités - le " polythéisme des valeurs " - devient le garant de l'unité compréhensive du Sapiens. Une " raison autre " reconstitue lentement mais sûrement les assises prometteuses d'un " Nouvel Esprit Anthropologique ". (shrink)

Binding of antigen or lectin to the surface of a T lymphocyte initiates a complex sequence of events which result in both T cell proliferation and the acquisition of immunologic functions. This complex sequence of events is most likely programmed and precisely timed by a series of contingent gene activations in which one member of this series activates the next. The two most obvious examples of these stages are the set of genes activated when antigen interacts with the antigen receptor (...) and the set of genes activated when IL‐2 interacts with its receptor. However, it is likely that several other parallel pathways of gene activation are necessary to bring about T‐cell division. An example would be the antigen‐induced activation of the c‐myc gene, which in turn is likely to be involved in regulating an additional group of genes not directly controlled by either IL‐2 or antigen. A fundamental understanding of T‐lymphocyte activation necessitates identification of the factors involved in initiating each of these contingent levels of gene activation. (shrink)

Cet article vise à comprendre la théorie stoïcienne de la deixis afin d’expliquer l’importance accordée par les stoïciens aux pronoms démonstratifs et aux énoncés qu’ils composent, c’est-à-dire les propositions dites définitives. Nous montrons que ces propositions sont privilégiées pour des raisons à la fois ontologiques et épistémologiques en raison des propriétés sémantiques de leur sujet. Elles sont privilégiées d’un point de vue ontologique parce que la deixis grâce à laquelle leur sujet fait référence au réel crée une relation privilégiée à (...) la matière, la catégorie ontologique stoïcienne fondamentale. De plus, ces sujets requièrent que leur référent existe et soit présent et saisissable. Ces énoncés sont d’autre part privilégiés d’un point de vue épistémologique parce qu’ils sont fondamentaux dans l’acquisition de la connaissance. Nous suggérons enfin que tous les énoncés apparemment définis ne le sont pas en effet, et considérons quand et sous quelles conditions une référence déictique est réussie. (shrink)

This paper is concerned with the description of the process of measurement within the context of a quantum theory of the physical world. It is noted that quantum mechanics permits a quasi-classical description of those macroscopic phenomena in terms of which the observer forms his perceptions. Thus, the process of measurement in quantum mechanics can be understood on the quasi-classical level by transcribing from the strictly classical observables of Newtonian physics to their quasi-classical counterparts the known rules for the measurement (...) of the former. The remaining physical problem is the delineation of the circumstances in which the correlation of a peculiarly quantum mechanical observable A with a classically measurable observable B can result in a significant measurement of A. This is undertaken within the context of quantum theory. The resulting clarification of the process of measurement has important implications relative to the philosophic interpretation of quantum mechanics. (shrink)

El presente artículo busca mostrar la relevancia de la filosofía de Spinoza con respecto a la realización de la libertad. Su idea de libertad no rechaza las emociones, y las vincula con nuestra capacidad de ser seres racionales. Spinoza es de los primeros filósofos que aprecia una dimensión interna de las emociones y la considera como parte de nuestra propia naturaleza, pues afirma que la esencia humana es el deseo mismo. El ser humano es consciente de este deseo, el cual (...) lo lleva a buscar modos de afirmar su propia existencia. Su noción de libertad, por ende, debe considerar todos estos elementos para poder plasmarse como algo realizable sin dejar de lado lo que nos hace humanos. (shrink)

In their book Spare Parts, published in 1992, Fox and Swazey criticized various aspects of organ transplantation, including the routinization of the procedure, ignorance regarding its inherent uncertainties, and the ethos of transplant professionals. Using this work as a frame of reference, we analyzed articles on organ transplantation published in internal medicine and transplantation journals between 1995 and 2008 to see whether Fox and Swazey’s critiques of organ transplantation were still relevant.

L’objectif de cet article est de faire le point sur le programme de recherche PFC (« Phonologie du français contemporain : usages, variétés et structure »), plus de quinze ans après son lancement et d’illustrer le travail mené dans ce cadre par la question du schwa, phénomène bien connu dans le domaine de la variation phonologique et central à la phonologie du français. Après avoir brièvement présenté le programme, nous abordons la question du schwa en français et expliquons son traitement (...) dans PFC. Nous illustrons ensuite le travail effectué en nous penchant tout d’abord sur les variétés méridionales, que nous opposons aux variétés septentrionales, avant d’aborder la question du schwa dans les variétés suisses romandes. (shrink)