Background In the context of limited health care budgets in countries where Neglected Tropical Diseases are endemic, scaling up disease control interventions entails the setting of priorities. However, solutions based solely on cost-effectiveness analyses may lead to biased and insufficiently justified priorities. Objectives The objectives of this paper are to 1) demonstrate how a range of equity concerns can be used to identify feasible priority setting criteria, 2) show how these criteria can be fed into a multi-criteria decision-making matrix, and (...) 3) discuss the conditions under which this decision-making procedure should be carried out in a real-world decision-making context. Methods This paper draws on elements from theories of decision analysis and ethical theories of fair resource allocation. We explore six typical NTD interventions by employing a modified multi-criteria decision analysis model with predefined criteria, drawn from a priority setting guide under development by the WHO. To identify relevant evidence for the six chosen interventions, we searched the PubMed and Cochrane databases. Discussion Our in vitro multi-criteria decision analysis suggested that case management for visceral leishmaniasis should be given a higher priority than mass campaigns to prevent soil-transmitted helminthic infections. This seems to contradict current health care priorities and recommendations in the literature. We also consider procedural conditions that should be met in a contextualised decision-making process and we stress the limitations of this study exercise. Conclusion By exploring how several criteria relevant to the multi-facetted characteristics of NTDs can be taken into account simultaneously, we are able to suggest how improved priority settings among NTDs can be realised. (shrink)

L'édification spatio-temporelle dont se sert un observateur isolé pour représenter ses résultats de mesures comporte la construction d'un espace physique qui, quoique non catégorique, est applicable sur l'espace euclidien à trois dimensions. Aucun argument ne permet de décider si l'espace est euclidien ou non euclidien. Les expériences permettent seulement à l'observateur d'affirmer que l'espace est pratiquement euclidien en son voisinage.

Background and objectives: Summary measures of overall health inequality are independent of group membership and enable international comparisons of distribution of health. We compare inequality between and within countries over time and identify normative issues underlying such comparisons. Methods: We used a set of modeled historical life tables for 193 World Health Organization member states from the years 1990, 2000 and 2008 and calculated inequality in age at death and inequality-adjusted life expectancy. Results: Our calculations suggest that overall health inequalities (...) in age at death have been decreasing in the period 1990–2008 in most countries of the world. Only 20 countries experienced increasing distribution in age at death. Simultaneously, overall life expectancy has increased in 85 per cent of all countries. Thus, the combined measure IALE has improved globally. The same overall trend of reduced health inequality applies to all groups of countries stratified by income level. Conclusion: Overall health inequalities, in addition to average health outcomes, could be reported regularly to monitor the health status of populations and the performance of health systems. We find, on normative grounds, the combined measure IALE to be preferable to measuring trends in inequality only. Likewise, we find the Absolute GiniH to be preferable to Relative GiniH. (shrink)

BackgroundIn the context of limited health care budgets in countries where Neglected Tropical Diseases (NTDs) are endemic, scaling up disease control interventions entails the setting of priorities. However, solutions based solely on cost‐effectiveness analyses may lead to biased and insufficiently justified priorities.ObjectivesThe objectives of this paper are to 1) demonstrate how a range of equity concerns can be used to identify feasible priority setting criteria, 2) show how these criteria can be fed into a multi‐criteria decision‐making matrix, and 3) discuss (...) the conditions under which this decision‐making procedure should be carried out in a real‐world decision‐making context.MethodsThis paper draws on elements from theories of decision analysis and ethical theories of fair resource allocation. We explore six typical NTD interventions by employing a modified multi‐criteria decision analysis model with predefined criteria, drawn from a priority setting guide under development by the WHO. To identify relevant evidence for the six chosen interventions, we searched the PubMed and Cochrane databases.DiscussionOur in vitro multi‐criteria decision analysis suggested that case management for visceral leishmaniasis should be given a higher priority than mass campaigns to prevent soil‐transmitted helminthic infections. This seems to contradict current health care priorities and recommendations in the literature. We also consider procedural conditions that should be met in a contextualised decision‐making process and we stress the limitations of this study exercise.ConclusionBy exploring how several criteria relevant to the multi‐facetted characteristics of NTDs can be taken into account simultaneously, we are able to suggest how improved priority settings among NTDs can be realised. (shrink)

In "De l’Allemagne", Mme de Staël develops a sophisticated philosophical psychology that centers not on reason, but imagination. She does this by bringing French Enlightenment philosophy, particularly Rousseau and Diderot, into dialogue with German thinkers, including Kant and Herder. For Mme de Staël, imagination transcends the epistemic limits of sensibility and reason by incorporating sentiment.

This paper is based on manuscripts found in the Archives du service historique de la marine, Vincennes, France. Pierre-Alexandre-Laurent Forfait visited England in 1790 with his colleague Daniel Lescallier , and was much impressed by England's superior naval organization. He was persuaded that the only way to defeat the old enemy was by invasion, and for several years he tried to convince Bonaparte of the necessity for action. Forfait dedicated himself to the planning and organization of an invasion fleet (...) which was never used. In the Appendix, documents are reproduced to illustrate military plans and Bonaparte's relationship with Forfait; others throw light on life in the French ports during this turbulent period of history. (shrink)

It is not at all surprising that August Thalheimer's 1930 essay on fascism should have been so enthusiastically rediscovered, reprinted and widely discussed in left-wing European circles during the 1960's. Informed debate on fascism had reached a major theoretical impasse: factually, more was known than ever before, or, at any rate, enough to dismiss as “empirically inadequate” virtually all of the better known traditional interpretations; yet, conceptually, no new theoretical nets had been cast that might have better accounted for the (...) full range of phenomena to be subsumed under the generic term fascism. Moreover, to the degree that extremely well-researched, specialized monographs had successfully challenged the old theoretical warhorses, few scholars were inclined to hazard new totalizing formulations lest their own heads in turn be severed on the merciless empirical block. (shrink)

The conservative German publicist and political theorist, Constantin Frantz (1817–1891), occupies an ambiguous place in German intellectual history. Some, such as Friedrich Meinecke, located him within the rich intellectual tradition of German federalism, highlighting his hostility to the idea of the “nation-state” and the traditions of nationalism, Realpolitik and militarism. Others, by contrast, have situated him within a long genealogy of German fascism, identifying his remarkable 1852 work, Louis Napoleon, as a kind of precursor or antecedent of twentieth-century fascist ideology. (...) This interpretation raises broader questions about the historiography on Bonapartism and Caesarism, which has often been motivated by an interest in the intellectual origins of modern fascism. The present article supplies a reinterpretation of Frantz’s thinking about Bonapartism (Napoleonismus) and Caesarism by focusing on a much broader range of his intellectual output and by tracking the development of his view of Bonapartism’s significance between 1851 and the early 1870s. The main outcome is not just to question Frantz’s place in the “prehistory” of fascism, but also to show how deeply nineteenth-century debates about Bonapartism were connected to concerns about liberalism, democracy, nationalism and imperialism. (shrink)

Si le xixe siècle fut le temps de l’émergence de la figure de la “ grande voyageuse ”, on ne saurait surestimer cette innovation. La hiérarchie des genres de récits de voyage, l’importance du contre-exemple britannique, la condamnation morale de la voyageuse solitaire manifestent assez le sentiment de l’illégitimité du voyage féminin. Pourtant, pèlerines, valétudinaires et touristes se multiplièrent dans un siècle qui fut aussi celui de l’invention du voyage de noces. Cet article tente de prendre la mesure de l’ensemble (...) des normes qui ont alors commandé les pratiques, nombreuses et variées, du voyage féminin. (shrink)

The 2008 crisis and economic transformations fuelled significant political phenomena, such as a deep distrust of politics, electoral volatility and the decline of bipolarity and/or bipartisanship in the face of growing outsider party affirmation. In this context, the dialectical model of the Gramscian ‘social totality’ provides an analytical tool capable of analysing those ‘transition’ phases characterised by a fracturing ‘dominant historical bloc’, in itself a precursor to an organic crisis of traditional political parties’ separation of social classes.

V.2. Les grandes évasions esthetiques; Delacroix, Flaubert, les Goncourt, Lamartine, Sarcey, Wagner. V.3. L'économie des passions; Mme Ackermann, Balzac, Hugo, Musset, Nietzsche, Sand, Zola.

This article stages a new encounter between rhetoric and the philosophy of Karl Marx. We argue that the configuration of two major tropes in Marx’s 1852 pamphlet The Eighteenth Brumaire of Louis Bonaparte renders explicit the operative but implicit logics of Marxian historical materialism. Our reading therefore makes available a novel and untimely dimension of Marx’s conceptual labor where we least expect to find it: in a text that has been largely, but not exclusively, understood as a history of (...) counterrevolution that was meant to intervene within its own context in particular ways. While we do not wish to lose sight of that context, our aim is to demonstrate that The Eighteenth Brumaire is suggestive of the.. (shrink)

J'étais au lycée depuis la neuvième. Lors de la drôle de guerre, je suis restée à la campagne dans l'Ain ­ j'étais en cinquième et ai suivi l'enseignement dispensé par mes cousines, l'une faisant les mathématiques, l'autre les lettres. Ce n'était pas très sérieux mais pas si mauvais tout de même puisqu'après un court troisième trimestre à Henri IV (nous sommes repartis en juin à l'arrivée des Allemands), j'ai pu entrer en quatrième l'année suivante grâce à quelques cours particuliers d..