Low prevalence of coagulation F2 and F5 polymorphisms in mothers and children in a large cohort of patients with neonatal arterial ischemic stroke

International audienc

Pharmacological therapies in post stroke recovery: Recommendations for future clinical trials

Stroke is a leading cause of serious long-term disability in adults and is the second leading cause of death worldwide. Early reperfusion and neuroprotection techniques have been the focus of much effort with the aim of very acute treatment of the stroke. Targeting different mechanisms, pharmacological therapies have the potential to reduce disability in a large fraction of patients who survive the acute stroke. The brain's capacity to reorganize after stroke through plasticity mechanisms can be modulated by pharmacological agents. A number of therapeutic interventions are under study, including small molecules, growth factors, and monoclonal antibodies. Recently it has been shown that the SSRI fluoxetine improved motor deficit in patients with ischaemic stroke and hemiplegia which appeared to be independent of the presence of depression. In this context, it is of major importance to support innovative research in order to promote the emergence of new pharmacological treatments targeting neurological recovery after stroke, as opposed to acute de-occlusion and neuroprotection. This paper is the work of a group of 14 scientists with aim of (1) addressing key areas of the basic and clinical aspects of human brain plasticity after stroke and potential pharmacological targets for recovery, (2) asking questions about the most appropriate characteristics of clinical trials testing drugs in post stroke recovery and (3) proposing recommendations for future clinical trials. © 2013 Springer-Verlag Berlin Heidelberg

Factors Influencing the Participation of Older People in Clinical Trials : Data Analysis from the MAVIS Trial

Peer reviewedPostprin

Intervention and revision: Expertise and interaction in text mediation

Many EAL (English as an Additional Language) scholars enlist text mediators’ support when faced with the challenges of writing for international publication. However, the contributions these individuals are able to make in improving scientific manuscripts remains unclear, especially when language professionals such as English teachers do this work. In this article, we explore this topic by examining how three mediators employed their very different expertise and brought different processes to bear on the same discussion section of a medical manuscript written by a novice scholar in China. We find that successfully mediated texts are often the result of an interplay between the mediator’s expertise and the relationship between the participants. Our findings contradict those of previous studies that question the role of English teachers in this process and have the potential to inform both text mediation practices and revision studies

The purpose of United Nations Security Council practice: Contesting competence claims in the normative context created by the Responsibility to Protect.

Practice theory provides important insight into the workings of the Security Council. The contribution is currently limited however by the conjecture that practice theory operates on ‘a different analytical plane’ to norm / normative theory (Adler-Nissen and Pouliot 2014). Building on existing critiques (Duval and Chowdhury 2011; Schindler and Wille 2015) we argue that analyzing practices separately from normative positions risks misappropriating competence and reifying practice that is not fit for purpose. This risk is realized in Adler-Nissen and Pouliot’s (2014) practice based account Libya crisis. By returning the normative context created by the Responsibility to Protect (R2P) to the analytical foreground, and by drawing on a pragmatic conception of 'ethical competence' (Frost 2009), we find that pre-reflexive practices uncritically accepted as markers of competence – e.g. ‘penholding’ – can contribute to the Council’s failure to act collectively in the face of mass atrocity. Drawing on extensive interview material we offer an alternative account of the Libya intervention, finding that the practices of the permanent three (France, UK and US) did not cultivate the kind of collective consciousness that is required to implement R2P. This is further illustrated by an account of the Security Council’s failure in Syria, where the P3’s insistence on regime change instrumentalized the Council at the expense of R2P-appropriate practice. This changed when elected members became ‘penholders’. Practice theory can facilitate learning processes that help the Council meet its responsibilities, but only through an approach that combines its insights with those of norm / normative theory