Background: Family members are often required to act as substitute decision-makers when health care or research participation decisions must be made for an incapacitated relative. Yet most families are unable to accurately predict older adult preferences regarding future health care and willingness to engage in research studies. Discussion and documentation of preferences could improve proxies' abilities to decide for their loved ones. This trial assesses the efficacy of an advance planning intervention in improving the accuracy of substitute decision-making and increasing (...) the frequency of documented preferences for health care and research. It also investigates the financial impact on the healthcare system of improving substitute decision-making. Methods/DesignDyads (n = 240) comprising an older adult and his/her self-selected proxy are randomly allocated to the experimental or control group, after stratification for type of designated proxy and self-report of prior documentation of healthcare preferences. At baseline, clinical and research vignettes are used to elicit older adult preferences and assess the ability of their proxy to predict those preferences. Responses are elicited under four health states, ranging from the subject's current health state to severe dementia. For each state, we estimated the public costs of the healthcare services that would typically be provided to a patient under these scenarios. Experimental dyads are visited at home, twice, by a specially trained facilitator who communicates the dyad-specific results of the concordance assessment, helps older adults convey their wishes to their proxies, and offers assistance in completing a guide entitled My Preferences that we designed specifically for that purpose. In between these meetings, experimental dyads attend a group information session about My Preferences. Control dyads attend three monthly workshops aimed at promoting healthy behaviors. Concordance assessments are repeated at the end of the intervention and 6 months later to assess improvement in predictive accuracy and cost savings, if any. Copies of completed guides are made at the time of these assessments. DiscussionThis study will determine whether the tested intervention guides proxies in making decisions that concur with those of older adults, motivates the latter to record their wishes in writing, and yields savings for the healthcare system. Trial RegistrationISRCTN89993391. (shrink)

ABSTRACT: This article aims to show that, in the course of his analysis of Bourgeois Civil Society, Hegel formulates a philosophical theory of British society as it had been already described by A. Smith, and thereby anticipates our present “dual” societies which can be characterized by luxury and poverty. The Bourgeois Civil Society is seen as a necessary economical stage in the progressive satisfaction of social needs, but also as an insufficient one insofar as the abstract parallel sophistication of the (...) needs themselves generates a plebeian class as a residue of the civil society which cannot be eliminated through colonial expansion. In Hegel’s view, politics should remain in control of economics. (shrink)

The article analyses the Passions de l'âme (The Passions of the Soul) to bring out Cartesian strategies. Descartes demonstrates the limits of the mechanistic explanation of passions through their immediate and final causes: animal spirits. This explanation, coupled with a theoiy of affective objects, of the importance of passion-inspiring objects which are the first, principal causes of passions, ends in an exaltation of generosity, virtue and passion for freedom. Abstract mechanistic vocabulary has meaning only because the vocabularies of intentionality and (...) ethics reflect on it. Thus perhaps the work should be read backwards, beginning with the end. (shrink)

The Latin language is uncharacteristically rich when it comes to describing witches. A witch may be called acantatrixorpraecantrix, asacerdosorvates. She may bedocta,divina,saga, andmaga, avenefica,malefica,lamia,lupula,strix, orstriga. She may be simplyquaedam anus. The available terms are copious and diverse, and the presence of such an abundant differential vocabulary might suggest that Latin made clear linguistic distinctions between various witch types. It would seem a reasonable expectation thatpraecantrices, a word evocative of those who sing of events before they happen, would be concerned with (...) divinatory practices, whileveneficae, given the term's close relationship to the word for poison, would deal in potions or philtres, leaving thelamiae orstriges to function as quasi-demonic bogeys posing threats to the lives of small children. However, this expectation of semantic and morphological concordance remains unfulfilled following any concerted attempt to correlate a witch's title with her function. Because of this disjuncture, this paper proposes to demonstrate not only the inaccuracy of the Latin vocabulary in articulating the functional differences between various witches, but also to assert the essential uniformity of witch characters in so far as each witch is, in essence, a blank canvas onto which a myriad of fears and anxieties may be mapped. (shrink)

Drawn from a larger research project exploring discourses of ability and gender, this paper identifies a narrative theme, ‘Girls Find God’, emerging both from teen-orientated television dramas and as a topic of discussion among participants in an online forum, www.smartgirls.tv. It considers the relationship between teens and the media, and the implications for the development of cultural identities and practices. Identifying some key tenets of television dramas which have a girl’s connection with the supernatural at their core, and exploring reflections (...) of on-line forum participants, I argue that the ‘Girls Find God’ narrative goes beyond a simple reinforcement of some historically inscribed relationships between divinity, gender and genius. While it is true that connectedness and service are maintained as the inevitable direction of girls’ talents and reinforced by a divine authority, this narrative also provides a locus for negotiation of what such hegemonic inscriptions might mean in contemporary contexts for girls. (shrink)

This paper traces back the psychological effects of the ?masked exile? of a Jewish Tunisian family settled in France. The author provides a rich analysis of a sudden and permanent change of nationality, country, language, urban bustle and family environment, following the ?tunisification of Tunisia? launched by President Bourguiba at the end of the 1950s. A comparison with the situation of later migrant workers from the Maghreb countries is sketched in the second part of this paper.

Consistent with Koehler's position, we propose a generalization of the base rate fallacy and earlier conservatism literatures. In studies using both traditional tasks and new tasks based on ecologically valid base rates, our subjects typically underweight individuating information at least as much as they underweight base rates. The implications of cue consistency for averaging heuristics are discussed.

Une situation de crise, ici représentée par une demande d’IVG, amène cette femme à exprimer sa plainte et sa difficulté de couple dans un cadre légal auprès d’un professionnel de l’écoute. Il s’ensuit pour elle une demande d’aide qui amène le professionnel à situer son écoute dans le cadre du Conseil conjugal puis, une nouvelle demande s’adressant au même professionnel pour une demande de thérapie avec changement du cadre.

Sur la couverture, la reproduction d’un énigmatique tableau de Borduas, chef de file du Refus global des années 40: Le condor embouteillé, symbolise la rupture radicale qui s’annonce dans l’histoire culturelle et sociale du Québec. Le condor philosophique, au vol inverse de celui de la chouette, sort enfin au grand jour de sa captivité théologique.

Le Dictionnaire d'économie politique et diplomatique paraît entre 1784 et 1788 sous la direction de J. N. Démeunier (1751-1814), homme politique français et publiciste. Sur la base d'une définition qui inscrit les questions économiques nouvelles dans le champ de la réflexion sociale et politique classique, le Dictionnaire présente une conception globalisante de l'économique relativement innovante. Dans le cadre du présent volume III (Économie politique) des Anthologies de l'encyclopédie méthodique, nous avons privilégié l'ensemble des articles consacrés aux États-Unis et à la (...) Virginie, ce nouveau Monde où « la réflexion politique moderne est mise à l'épreuve, et transformée par l'économie politique ». Le modèle américain est tendu par Démeunier à « la partie la plus saine de l'Europe » comme « le miroir de son avenir », en particulier quand il célèbre la dimension exemplaire du nouveau code civil et criminel préparé pour la Virginie, ou encore les dispositions sur la tolérance religieuse. Enfin, nous avons fait suivre le choix d'articles tirés du Dictionnaire de Démeunier d'extraits de la traduction française de l'abbé Morellet des Observations sur la Virginie, ouvrage rédigé par Jefferson et auquel Démeunier a abondamment emprunté. Le lecteur appréciera derechef la hauteur et la nouveauté de vues de ce grand homme, héritier exemplaire des Lumières, préoccupé tout entier de réformes et de changements pour cette nouvelle société en train de se constituer. Cette anthologie paraît de façon posthume. C'est en effet le dernier ouvrage que préparait Paule-Monique VERNES, professeure émérite de philosophie moderne et politique à l'Université de Provence, quand elle est décédée soudainement le 15 janvier 2013. J. Boulad-Ayoub s'est occupée de compléter, avec l'aide de Christian Jobin, la présente publication laissée inachevée par la disparition de son éditrice. (shrink)

Le corpus de littéracie avancée réunit des écrits universitaires et professionnels produits par des étudiants du niveau Licence 1 au Master 2. Il contient actuellement 338 textes (+ d’1 million de mots) et est mis à disposition au format xml, assorti de métadonnées (niveau, discipline, genre, consigne d’écriture etc.). Il est à la fois un aboutissement et un point de départ dans le champ de la littéracie avancée : parce que l’enjeu n’est pas tant de constituer des corpus que de (...) les savoir utilisés et de nourrir les recherches actuelles et futures, il est pensé comme un construit évolutif. L’article expose d’abord les objectifs du corpus : le premier, d’ordre descriptif est de cerner les compétences rédactionnelles et les besoins de formation à un niveau avancé ; le second, d’ordre didactique, est qu’il sert de ressource pour la formation, notamment pour des activités d’observation et de manipulation par les apprenants. Sont ensuite présentées les métadonnées, conçues en phase avec les recommandations de la TEI et dans la perspective d’un outillage des linguistes et des didacticiens dans le champ de la littéracie avancée. Enfin, l’article met en évidence les potentialités du corpus : intégrer des données sur les processus d’écriture et des textes annotés par des relecteurs-correcteurs, élaborer des dispositifs didactiques à l’échelle textuelle. à terme, le corpus gagnera à être associé à des outils de requête et à s’enrichir d’annotations diverses, selon les besoins des chercheurs et des formateurs. (shrink)

Cet article porte sur des problèmes d’analyse en corpus de structures discursives, en partant de l’exemple de la procéduralité. Quand l’objet d’étude ne porte pas sur une forme particulière, il est difficile de recueillir les données à analyser sans idée préconçue, c’est-à-dire sans biaiser a priori les résultats. L’article propose une méthode permettant de résoudre en partie ces problèmes, en partant d’une annotation à plusieurs mains qui est progressivement unifiée afin d’obtenir un résultat objectif. Nous montrons que cette étape fait (...) pleinement partie de l’étude linguistique elle-même. (shrink)

Are public and private standards affecting farmer knowledge and moving farm practices toward food safety and environmental sustainability in China? We surveyed 355 apple farmers involved in chains supplying a diversity of retailing points, including supermarkets. Using a multivariate regression model, we find no measurable evidence that the certification schemes of farm bases and agribusiness companies lead to improved apple growers’ knowledge regarding pest and disease management. The observed behavioral changes are mainly prompted by delegated decision-making towards leaders of farm (...) bases, which raises questions on the long-term changes in farmers’ practices and on the fundamental values and ethics of China’s agrofood system that is governed through the standards. (shrink)

En quoi consiste - ou devrait consister - l'éthique professionnelle en enseignement? Comment se manifeste-t-elle dans les gestes pédagogiques? Selon quels critères peut-on la juger? Comment développer l'éthique professionnelle dans le cadre des formations initiale et continue en enseignement? En tenant compte du contexte social et culturel du Québec, des principes éthiques déjà énoncés par le ministère de l'Éducation ainsi que des lois, codes et conventions ayant des incidences sur l'enseignement, les auteures présentent une analyse de ces questions. Elles proposent (...) des clarifications conceptuelles et un certain nombre de repères et de balises afin de guider les enseignants et de stimuler la discussion sur l'agir professionnel dans la classe, dans l'école et dans la société. (shrink)

Cette monographie propose de reconstruire l’histoire d’un certain nombre de sociétés britanniques d’émigration féminine destinées à aider les femmes anglaises en excédent démographique (surplus women), à émigrer en Australie et en Nouvelle-Zélande dans les années 1860-1914. Parmi les organisations féminines étudiées figurent la Female Middle Class Emigration Society (1862-1886), la Women’s Emigration Society (1880-1884), la British Women’s Emigration Association (1884-1919) et la Church Emigr...

Hertwig and Ortmann have made a laudable effort to bring together experimental practices in economics and in psychology. Unfortunately, they ignore one of the primary objectives of psychological research, which is an analytic description of general cognitive processes. Among experimental practices in probability judgment tasks they discussed, we will focus hereafter on enactment of scripts and repetition of trials.

This study shows that double thymidine block treatment efficiently arrests the EO771 cells in the S‐phase without altering cell growth or survival. A long‐term analysis of cell behavior, using 5(6)‐carboxyfluorescein diacetate N‐succinimidyl ester (CFSE) staining, show synchronization to be stable and consistent over time. The EO771 cell line is a medullary breast‐adenocarcinoma cell line isolated from a spontaneous murine mammary tumor, and can be used to generate murine tumor implantation models. Different biological (serum or amino acid deprivation), physical (elutriation, mitotic (...) shake‐off), or chemical (colchicine, nocodazole, thymidine) treatments are widely used for cell synchronization. Of the different methods tested, the double thymidine block is the most efficient for synchronization of murine EO771 cells if a large quantity of highly synchronized cells is recommended to study functional and biochemical events occurring in specific points of cell cycle progression. (shrink)

La contextualisation didactique en tant que champ émergent revisite les objectifs inhérents aux situations d'enseignement/ apprentissage. Depuis les premiers travaux fondant la pédagogie différenciée, les réflexions se sont poursuivies sur l'ajustement de l'enseignement aux spécificités de l'apprenant. On conçoit désormais que l'environnement dans lequel évolue celui-ci influe sur les acquisitions et qu'il peut expliquer les décalages parfois observés entre un objectif d'enseignement et sa réalisation. Mais comment le contexte interagit-il avec l'acte d'enseignement? Comment identifier les paramètres qu'il convient d'intégrer dans (...) le processus didactique? Comment concevoir cette nécessaire articulation entre prise en compte du contexte et situation didactique? Ces questions sont au coeur de cet ouvrage collectif qui interroge les modalités d'une approche contextualisée dans le domaine de la didactique des langues. (shrink)

We look for tricks used to create a group of collaborative research which proposes to trainers of nurses researchers’ support in the appropriation of an original tool to help the learners analyze and develop their practice in vocational training : the narrative. The analysis of a corpus based on the first exchanges of the group shows the central role that plays the tool in itself, the mutual discovery of the cultures and the « habitus », the emergence and the discussion (...) of a generic definition of the job and its adjustment by the styles, the flexibility looked for in « scaffolding » and temporality. (shrink)

Angiogenesis is a complex morphogenetic process regulated by growth factors, but also by the force balance between endothelial cells traction stresses and extracellular matrix viscoelastic resistance. Studies conducted with in vitro angiogenesis assays demonstrated that decreasing ECM stiffness triggers an angiogenic switch that promotes organization of EC into tubular cords or pseudo-capillaries. Thus, mechano-sensitivity of EC with regard to proteases secretion, and notably matrix metalloproteinases, should likely play a pivotal role in this switching mechanism. While most studies analysing strain regulation (...) of MMPs used cell cultured on stretched membranes, this work focuses on MMP expression during self-assembly of EC into capillary-like structures within fibrin gels, i.e. on conditions that mimics more closely the in vivo cellular mechanical microenvironment. The activity of MMP-2 and MMP-9, two MMPs that have a pivotal role in capillaries formation, has been monitored in pace with the progressive elongation of EAhy926 cells that takes place during the emergence of cellular cords. We found an increase of the zymogen proMMP-2 that correlates with the initial stages of EC cords formation. However, MMP-2 was not detected. ProMMP-9 secretion decreased, with levels of MMP-9 kept at a rather low value. In order to analyse more precisely the observed differences of EAhy926 response on fibrin and plastic substrates, we proposed a theoretical model of the mechano-regulation of proMMP-2 activation in the presence of type 2 tissue inhibitor of MMPs. Using association/dissociation rates experimentally reported for this enzymatic network, the model adequately describes the synergism of proMMP-2 and TIMP-2 strain activation during pseudo-capillary morphogenesis. All together, these results provide a first step toward a systems biology approach of angiogenesis mechano-regulation by cell-generated extracellular stresses and strains. (shrink)

"In this wonderfully engaging and informative collection we hear the voice of a different Paul Bowles. Writing on a wide range of subjects--jazz, film music, classical music, popular music, ethnic music--he is direct, opinionated, incisive, analytical, humorous, and passionate."—Millicent Dillon, author of You Are Not I: A Portrait of Paul Bowles.

The Samadhi of Direct Encounter with the Buddhas of the Present: An Annotated English translation of the Tibetan version of the Pratyutpanna-Buddha-Sammukhavasthita-Samadhi-Sutra. Translated by Paul Harrison., The International Institute for Buddhist Studies, Tokyo 1990. xxxviii, 346 pp. n.p.

The book includes an essay by the curator and a chronology of the artist's life and work.

Paul Ramsey was one of the most important ethicists of the twentieth century. From the publication of his classic Basic Christian Ethics in 1950 until his death in 1988, his writings decisively shaped moral discourse and reflection in the areas of theology, law, politics, and medicine. This collection of Ramsey's most important essays on Christian, political, and medical ethics displays the scope and depth of his vision, highlighting both the character of his theological commitments and the continuing significance of his (...) work for the pressing moral problems of our day. Selections deal with such issues as race relations, sexuality and marriage, war, the meaning of Christian love, abortion, and medical care for the sick and dying. A general introduction by William Werpehowski and Stephen D. Crocco evaluates Ramsey's career and accomplishments and reviews contemporary criticism of his output and legacy. Shorter introductions to each selection point out crucial themes and lines of development in Ramsey's thought. (shrink)

Paul and Religion demonstrates the continuing and contemporary relevance of the most important, and most controversial, figure of early Christianity. Paul Gooch interrogates the Pauline writings for their meaning as well as implications for religion as an entire form of life, a stance on the world expressed in distinctive practices. Bringing a philosophical approach to this topic, he connects Paul's ideas to lived experience. In a conversational style, Gooch explores Paul's experience of grace and his dismissal of distinctive markers of (...) religious identity in favour of love as binding together a community. Contrary to common expectations, he finds within Paul's letters material for conversations about issues in our day, such as gender and sexuality. From his close reading of the Letters, Gooch argues that the Pauline religious form of life is not identical with institutional Christianity. Indeed, his conclusions may be welcome to those who belong to other faiths. (shrink)