Georges Gilles de la Tourette

Author(s):  
Olivier Walusinski

An exhaustive biography of French neuropsychiatrist Georges Gilles de la Tourette (1857–1904) has never been undertaken. Gilles de la Tourette worked closely with the nineteenth-century founder of neurology in Paris, Jean-Martin Charcot. His name is universally known because of the eponymous, disabling syndrome that affects 0.9% of children/adolescents. Unpublished family archives, as well as Gilles de la Tourette’s correspondence with the Parisian journalist Georges Montorgueil, conserved at the national Archives in Paris, were examined together with press and police archives to portray Georges Gilles de la Tourette’s family and professional life in an original light. These archives have never before been studied or made available to the public. How the eponymous syndrome was isolated, the errors initially made in its description, the hidden role of Jean-Martin Charcot, and the disputes with other authors are covered in detail based on multiple sources, original or already published. An in-depth analysis of the genesis of Gilles de la Tourette’s prolific neurological and psychiatric works within their historical context rounds out this biography. Major figures of neurology of the time are also featured—including Freud, Charcot and his son, Brissaud, and Babiński. Interwoven with Gilles de la Tourette’s life and times are discussions of politics, theater, literature, the 1900 Paris World’s Fair, and numerous letters exchanged with Jules Claretie of the Académie Française to highlight his significant involvement in each of these domains. The book concludes with a complete bibliography of all works written by Gilles de la Tourette, compiled for the first time.

2020 ◽  
Vol 105 (10) ◽  
pp. 927-931 ◽  
Author(s):  
Mike English ◽  
Brigid Strachan ◽  
Fabian Esamai ◽  
Thomas Ngwiri ◽  
Osman Warfa ◽  
...  

ObjectiveTo examine the availability of paediatricians in Kenya and plans for their development.DesignReview of policies and data from multiple sources combined with local expert insight.SettingKenya with a focus on the public, non-tertiary care sector as an example of a low-income and middle-income country aiming to improve the survival and long-term health of newborns, children and adolescents.ResultsThere are 305 practising paediatricians, 1.33 per 100 000 individuals of the population aged <19 years which in total numbers approximately 25 million. Only 94 are in public sector, non-tertiary county hospitals. There is either no paediatrician at all or only one paediatrician in 21/47 Kenyan counties that are home to over a quarter of a million under 19 years of age. Government policy is to achieve employment of 1416 paediatricians in the public sector by 2030, however this remains aspirational as there is no comprehensive training or financing plan to reach this target and health workforce recruitment, financing and management is now devolved to 47 counties. The vast majority of paediatric care is therefore provided by non-specialist healthcare workers.DiscussionThe scale of the paediatric workforce challenge seriously undermines the ability of the Kenyan health system to deliver on the emerging survive, thrive and transform agenda that encompasses more complex health needs. Addressing this challenge may require innovative workforce solutions such as task-sharing, these may in turn require the role of paediatricians to be redefined. Professional paediatric communities in countries like Kenya could play a leadership role in developing such solutions.


2020 ◽  
Vol 12 (17) ◽  
pp. 6954
Author(s):  
Gianguido Salvi ◽  
Alessandro Acquavita ◽  
Massimo Celio ◽  
Saul Ciriaco ◽  
Stefano Cirilli ◽  
...  

For the first time, the distribution and modifications of living ostracod associations present in the Gulf of Trieste (GoT) in relation to alterations caused by human activity in the last 20 years were investigated. The results were compared with the main physicochemical parameters (especially nitrogen and phosphorus) measured over the same period, which can lead to a general decrease in environmental quality. For a more in-depth analysis of the changes recorded by ostracods in the last 50 years, a period in which eutrophication and anoxia increased, we revisited the study carried out by Masoli in the GoT in 1967. The results obtained made it possible to verify how, over the last 20 years, ostracod assemblages have suffered a decrease both qualitatively and quantitatively. Most of the species recovered show characteristics of opportunism and tolerance to environmentally stressful conditions, high organic matter concentrations, and oxygen deficiency. The ostracods analyzed in 1967 showed similar results with few dominant opportunistic species. We verified how ostracods recorded in GoT, similar to Mollusks and Foraminifera, have been impaired by the possible environmental crisis linked to the recurrence of mucilage and hypoxic events documented for the GoT in the last 50 years. Finally, a comparison with the best environmental conditions found in the Marine Nature Reserve of Miramare (MPA) allowed us to emphasize the important role of protected areas to avoid loss of biodiversity due to urbanization.


2020 ◽  
Author(s):  
Soumya Pati ◽  
Preeti Yadav ◽  
Geeta Kumari ◽  
Rex D.A.B ◽  
Sangam Goswami ◽  
...  

AbstractSqueezability of biconcave RBC raises a fundamental query, about, how it can restructure its bendable cytoskeleton for efficient micro-circulation. We report for the first time, the existence of dynamic palmitoylome in RBC composed of 118 palmitoylated proteins that reduced to 42 upon treatment with 2BP, a generic inhibitor of palmitoylation. In-depth analysis revealed that Semaphorin7A, CR1 and ABCB6, the known RBC receptors for P. falciparum were reduced to negligible in 2BP-treated RBCs, suggesting palmitoylation-dependent recruitment of parasite-specific receptors. Interestingly, Kell, a single disulphide-linked co-partner in Kell-Kx complex was undetected in 2BP-treated RBCs, while Kx remained intact. RBCs-blocked with anti-Kell antibody demonstrated signficant reduction in parasite invasion, thus suggesting it as a receptor proto-type for P. falciparum invasion. Finally, reduced expression of Kell in palmitoylated protein pool of sickle-cell RBC ghost, with its diminished surface representation in these RBCs, proposed Kell, as one of the novel receptor-prototype for P. falciparum invasion.


Author(s):  
Koos J Malan

This article discusses the primary structures Johannes Althusius’ constitutionalism, as explained in his Politica: Politics Methodically Set Forth and Illustrated with Sacred and Profane Examples published in 1603. The first of these structures and the theme that Althusius is most famous for, is his scheme of grand republican federalism. The second is the public office of the ephors. The discussion is not primarily historical, however. The main aim, instead, is to assess the potential relevance of Althusius’ thinking for present-day constitutionalism. After centuries of at best scant relevance owing to the dominance of the statist paradigm in constitutional doctrine and practice, the decline of this paradigm is now creating considerable new interest in Althusius’ thinking. The discussion starts off with a concise account of the statist paradigm, which was at its advent in Althusius’ days. Thereafter follows an exposition of his federalism which consists of a set of associations, beginning with the closest-knit association, namely the family, spiralling out into the most encompassing association, which is the commonwealth or realm, with collegia, cities and provinces in between. The office of the supreme magistrate is dealt with under this heading. This discussion also focusses pertinently on the question of sovereignty, which in Althusian conceptualisation was a diffuse popular sovereignty in contrast to that of his statist opponents, more specifically Jean Bodin, and in posterity, Thomas Hobbes. Then follows an assessment of the public office of the (council of the) ephors, which assists the supreme magistrate in executing his responsibilities in accordance with the law and the covenant between the commonwealth and the magistrate and serves a as counterbalance of authority and power against the sovereign. Against this backdrop Althusius’ constitutional thinking is evaluated. First, his constitutionalism is placed in historical context in contrast to (1) classical polis-based thought; (2) medieval imperial thinking and (3) modern statist constitutionalism. Secondly, Althusius’ communitarian anthropology, which is in part the basis for his federalism, and which constitutes an anticipatory response to liberal individualism is assessed. Lastly it is argued that Althusius’ federalism provides a valuable source for improving on the state-departmentalisation of power separation and checks and balances, currently still sway in terms of the statist paradigm.     


Author(s):  
Gianguido Salvi ◽  
Alessandro Acquavita ◽  
Massimo Celio ◽  
Saul Ciriaco ◽  
Stefano Cirilli ◽  
...  

For the first time the distribution and modifications of living ostracod associations present in the Gulf of Trieste (GoT) in relation to the alterations caused by human activity in the last 20 years were investigated. The results were compared with the main chemico-physical parameters (especially nitrogen and phosphorus) measured over the same period, which can lead to a general decrease in environmental quality. For a more in-depth analysis of the changes recorded by ostracods in the last 50 years, a period in which eutrophication and anoxia increased, we revisited the study carried out by Masoli in the GoT in 1967. The results obtained made it possible to verify how over the last 20 years, ostracod assemblages have suffered a decrease both qualitatively and quantitatively. Most of the species recovered show characteristics of opportunism and tolerance to environmentally stressful conditions, high organic matter concentrations and oxygen deficiency. The ostracods analyzed in 1967 showed similar results with few dominant opportunistic species. We verified how ostracods recorded in GoT, similar to Mollusks and Foraminifera, the possible environmental crisis linked to the recurrence of mucilage and hypoxic events documented for the Gulf of Trieste in the last 50 years. Finally, a comparison with the best environmental conditions found in the Marine Nature Reserve of Miramare (MPA) allowed us to emphasize the important role of protected areas to avoid the loss of biodiversity due to urbanization.


2012 ◽  
Vol 36 (3) ◽  
pp. 273 ◽  
Author(s):  
Peter E. Thomas

The number of people in Australia that are currently covered by a hospital private health insurance product continues to rise every quarter. In September 2010, for the first time since the introduction of the public universal social insurance scheme, Medicare, more than 10 million persons in Australia are covered by private health insurance. Although the number of persons covered by private health insurance continues to grow, the quality and level of cover that members are holding is changing significantly. In an effort to limit premium rises and to reduce the benefits paid for treatment, private health insurers have introduced, and moved a large number of existing members to, less-than-comprehensive private health insurance policies. These policies, known as ‘exclusionary’ policies, are changing the dynamics of private health insurance in Australia. After examining the emergence and prevalence of these products, this commentary gives three different examples to illustrate how such products are changing the nature of private health insurance in Australia and are now set to create a series of policy issues that will require future attention.


2017 ◽  
Vol 38 (4) ◽  
pp. 194
Author(s):  
John R Bates

The Public Health Laboratory Network had its inaugural meeting on 26 June 1997. The meeting was chaired by Professor Lyn Gilbert who played a pivotal role in establishing this group. This was the first time that all the state and territory public health laboratory directors had been called to meet together. Members expressed a strong desire to communicate more closely on issues of public health importance and recognised the importance of promoting the role of public health laboratories in outbreak investigations and routine and enhanced surveillance.


2020 ◽  
pp. 150-203
Author(s):  
Mark Seymour

States anxious to wrest power from religious authorities viewed their courts of law as quasi-sacred spaces, often characterizing them as a form of ‘temple’ to signal the reverential emotional style required within. Foregrounding the emotional overlap between religious and legal spaces, this chapter portrays Rome’s Court of Assizes during the Fadda murder trial as both secular temple and emotional arena with great symbolic value for Liberal Italy. The argument is contextualized against analysis of the symbolic role of law at crucial stages in the development of other states, particularly England and France. After unification, Italian courts were opened to the public, in some cases for the first time. The civic audience in legal hearings, especially in criminal cases, was a fundamental tenet of Italy’s liberal ideology. The chapter analyses public participation in the Fadda trial against the background of a state’s need to engage its citizens in spaces and rituals that were unmistakably identified with the nation. The Fadda trial’s fascination both helped and hindered the state’s cause, drawing great crowds but provoking emotions that threatened to blur the line between dignified court and popular arena. The trial lasted a month and dominated the nation’s newspapers, drawing Italians from all over the peninsula into the drama in Rome. Ultimately the event was an opportunity to establish the contours of a new type of social space, a new emotional arena, for a new nation.


Author(s):  
Patrick Mahon

Patrick Mahon (A. P. Mahon) was born on 18 April 1921, the son of C. P. Mahon, Chief Cashier of the Bank of England from 1925 to 1930 and Comptroller from 1929 to 1932. From 1934 to 1939 he attended Marlborough College before going up to Clare College, Cambridge, in October 1939 to read Modern Languages. In July 1941, having achieved a First in both German and French in the Modern Languages Part II, he joined the Army, serving as a private (acting lancecorporal) in the Essex Regiment for several months before being sent to Bletchley. He joined Hut 8 in October 1941, and was its head from the autumn of 1944 until the end of the war. On his release from Bletchley in early 1946 he decided not to return to Cambridge to obtain his degree but instead joined the John Lewis Partnership group of department stores. John Spedan Lewis, founder of the company, was a friend of Hut 8 veteran Hugh Alexander, who effected the introduction. At John Lewis, where he spent his entire subsequent career, Mahon rapidly achieved promotion to director level, but his health deteriorated over a long period. He died on 13 April 1972. This chapter consists of approximately the first half of Mahon’s ‘The History of Hut Eight, 1939–1945’. Mahon’s typescript is dated June 1945 and was written at Hut 8. It remained secret until 1996, when a copy was released by the US government into the National Archives and Records Administration (NARA) in Washington, DC. Subsequently another copy was released by the British government into the Public Record Office at Kew. Mahon’s ‘History’ is published here for the first time. Mahon’s account is first-hand from October 1941. Mahon says, ‘for the early history I am indebted primarily to Turing, the first Head of Hut 8, and most of the early information is based on conversations I have had with him’.


2020 ◽  
Vol 59 (2) ◽  
pp. 315-342 ◽  
Author(s):  
Daisy Payling

AbstractThe Second World War and the rise of social medicine in 1940s Britain reframed population health as a social problem in need of state investigation. The resulting government inquiry, the Survey of Sickness, sampled the whole adult population of England and Wales, engaging a broad and diverse cross-section in public health research for the first time. Complaints made against the Survey of Sickness reveal a complex set of relationships between different sections of the public and the British state. This article situates complaints about privacy, liberty, and wasted resources, as well as challenges to the authority of survey fieldworkers, in the context of wider resistance to postwar controls. By viewing these protests and criticisms in light of the material circumstances of the people who made them, this article argues that, for those with social, economic, and political capital, the role of the public in public health was up for negotiation in postwar Britain. The everyday politics of the survey's doorstep encounters were heavily influenced by gendered notions of home and citizenship. This exploration of how different sections of the public were constructed by public health and how they responded to that construction describes the hierarchies of expertise under formation while illuminating how class and gender informed contemporary understandings of citizenship in the emerging postwar British state.


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