ABSTRACTIn everyday situations, people regularly receive information from large groups of people and from single experts. Although lay opinions and expert opinions have been studied extensively in isolation, the present study examined the relationship between the two by asking how many laypeople are needed to counter an expert opinion. A Bayesian formalisation allowed the prescription of this quantity. Participants were subsequently asked to assess how many laypeople are needed in different situations. The results demonstrate that people are sensitive to the (...) relevant factors identified for determining how many lay opinions are required to counteract a single expert opinion. People's assessments were fairly good in line with Bayesian predictions. (shrink)
BackgroundObtaining informed consent for intravenous thrombolysis in acute ischemic stroke can be challenging, and little is known about if and how the informed consent procedure is performed by neurologists in clinical practice. This study examines the procedure of informed consent for intravenous thrombolysis in acute ischemic stroke in high-volume stroke centers in the Netherlands.MethodsIn four high volume stroke centers, neurology residents and attending neurologists received an online questionnaire concerning informed consent for thrombolysis with tissue-type plasminogen activator. The respondents were asked (...) to report their usual informed consent practice for tPA treatment and their considerations on whether informed consent should be obtained.ResultsFrom the 203 invited clinicians, 50% completed the questionnaire. One-third of the neurology residents and 21% of the neurologists reported that they always obtain informed consent for tPA treatment. If a patient is not capable of providing informed consent, 30% of the residents reported that they start tPA treatment without informed consent. In these circumstances, 53% of the neurologists reported that the resident under their supervision would start tPA treatment without informed consent. Most neurologists and neurology residents obtained informed consent within one minute. None of the respondents used more than five minutes for informed consent. Important themes regarding obtaining informed consent for treatment were patients’ capacity, and medical, ethical and legal considerations.ConclusionThe current practice of informed consent for thrombolysis in acute ischemic stroke varies among neurologists and neurology residents. If informed consent is obtained, most clinicians stated to obtain informed consent within one minute. In the future, a shortened information provision process may be applied, making a shift from informed consent to informed refusal, while still considering the patient’s capacity, stroke severity, and possible treatment delays. (shrink)
Dans ce livre richement illustré et documenté, Marie-Jo Bonnet s'interroge sur la symbolique du couple de femmes dans l'art, en privilégiant l'exemple français, et ressuscite des figures d'artistes oubliées, comme Louise Janin, ou méconnues, telles Louise Abbéma ou Claude Cahun. Tribades, précieuses, amazones et garçonnes sont conviées à livrer leurs secrets : Marie-Jo Bonnet s'intéresse à la mise en scène du désir, longtemps orchestrée en fonction des attentes du spectateur masculin, ..
The target article by Locke & Bogin (L&B) focuses on the evolution of language as a communicative tool. They neglect, however, that from infancy onwards humans have the ability to go beyond successful behaviour and to reflect upon language (and other domains of knowledge) as a problem space in its own right. This ability is not found in other species and may well be what makes humans unique.
Abstract The present field experiment was designed to explore the effectiveness of social learning and structural developmental prescriptions for moral pedagogy in a summer sports camp. Eighty?four children, aged five to seven years, were matched on relevant variables and randomly assigned to one of three classes: (a) social learning, (b) structural developmental, or (c) control. Each of the classes shared similar curricula and was taught by two trained instructors for a six?week period. Educators is the experimental conditions implemented theoretically grounded (...) instructional strategies in their weekly emphasis on specific moral themes. Analyses indicated significant pre?to?post gains on a Piagetian intentionality task and a measure of distributive justice within both experimental groups, but MANCOVA results indicated differences between the experimental and control conditions only approached significance. (shrink)
L’article évoque les interrogations nouvelles autour de la responsabilité dans le domaine médical. Le caractère intolérable de la fragilité, le mouvement de médicalisation, l’individualisation de la perception des risques, l’évolution de la relation médecin-malade, etc., ont grandement complexifié la prise de décision et l’évaluation éthique en médecine et, plus largement, dans les questions relatives à la santé. L’Église catholique, comme toutes les institutions touchant de près ou de loin à la santé, ne manque pas d’être interrogée. La réflexion voudrait le (...) montrer à partir de l’épidémie de sida. Finalement, la responsabilité moderne ne se meut-elle pas nécessairement dans l’ambiguïté ? (shrink)
The article focuses in a particular way on two Jesuits of the XVII Century, Philips van Winghe e Jean l'Heureux . It describes their active participation in the scientific life of their time, as well as their own contributions to science.