Mapping the human connectome at multiple scales with diffusion spectrum MRI.

The global structural connectivity of the brain, the human connectome, is now accessible at millimeter scale with the use of MRI. In this paper, we describe an approach to map the connectome by constructing normalized whole-brain structural connection matrices derived from diffusion MRI tractography at 5 different scales. Using a template-based approach to match cortical landmarks of different subjects, we propose a robust method that allows (a) the selection of identical cortical regions of interest of desired size and location in different subjects with identification of the associated fiber tracts (b) straightforward construction and interpretation of anatomically organized whole-brain connection matrices and (c) statistical inter-subject comparison of brain connectivity at various scales. The fully automated post-processing steps necessary to build such matrices are detailed in this paper. Extensive validation tests are performed to assess the reproducibility of the method in a group of 5 healthy subjects and its reliability is as well considerably discussed in a group of 20 healthy subjects.

Quand la nourriture se fait parole: Scènes de communication alimentaire dans les récits médiévaux

Depuis les travaux d'Anita Guerreau-Jalabert sur la symbolique des triangles alimentaires dans le roman arthurien, personne ne saurait douter qu'au Moyen Âge la nourriture obéit à des codes. Une scène de table ne se réduit pas à une notation à valeur référentielle, à un éclat de vie aristocratique : intégrée au récit, la notation alimentaire est un élément constitutif du sens de l'oeuvre. Plus particulièrement, un plat peut servir de message adressé par un personnage à un autre. On s'est peu intéressé, si ce n'est pour la légende du coeur mangé, à ces passages où la nourriture vient compléter, voire se substituer à la parole. Des nouvelles de Boccace (traduites par Laurent de Premierfait) aux Cent Nouvelles nouvelles et au Pogge (traduit par Guillaume Tardif), mais aussi dans les romans (Ysaÿe le Triste, Le Cuer d'amours espris, Jehan de Saintré), les exemples ne manquent pas qui, à la fin du Moyen Âge, illustrent la variété des messages alimentaires. Si le plat qu'on sert peut être l'instrument d'une vengeance (le repas cannibale !), il est aussi et surtout utilisé comme moyen de séduction. Parfois, il s'agit d'un avertissement qui, par la transgression des codes, donne voix à la morale ; ailleurs, l'ironie s'en mêle, quand la nourriture traduit une attitude de dérision face au convive. Ce dernier procédé, plus ludique, ne se rencontre pas seulement - comme on pourrait s'y attendre - dans l'univers du fabliau ou de la nouvelle. Il traverse le Moyen Âge et, du XIIe au XVe siècle, prépare l'émergence du cuisinier dont l'art et les « joyeux dits » font un double du poète.

Speaking from the Inside: Challenges Faced by Communication Researchers Investigating Disease-Related Issues in a Hospital Setting.

This commentary came from within the framework of integrating the humanities in medicine and from accompanying research on disease-related issues by teams involving clinicians and researchers in medical humanities. The purpose is to reflect on the challenges faced by researchers when conducting emotionally laden research and on how they impact observations and subsequent research findings. This commentary is furthermore a call to action since it promotes the institutionalization of a supportive context for medical humanities researchers who have not been trained to cope with sensitive medical topics in research. To that end, concrete recommendations regarding training and supervision were formulated.

Communication with terminal cancer patients in palliative care: are there differences between nurses and physicians?

The aim of this study was to find whether there were interprofessional differences in specific elements of communication with terminal cancer patients and decision-making processes that concern such patients. Given that interdisciplinary team work is one of the basic values in palliative care, if there are conflicting views between professions on such important issues it is most important to know about these and to understand them. A questionnaire utilized in an earlier survey of palliative care physicians and addressing their attitudes to and beliefs about specific elements of communication and decision making was sent to a sample of palliative care nurses working in the same regions, i.e. the French-speaking parts of Switzerland, Belgium and France. After a second mailing (reminder), 135 of the 163 questionnaires (83%) were returned. There was general agreement between nurses and physicians on questions dealing with perceptions of patients' knowledge of their diagnosis and stage of disease, patients' need for information, "do not resuscitate" orders and ethical principles in decision-making processes. Statistically significant, but small, differences between professional groups were only observed for a minority of the questions. Interprofessional differences in specific elements of communication with terminal cancer patients and decision-making processes affecting these patients were not so marked that they could be called "conflicting interprofessional views."

Mutations in B3GALT6, which encodes a glycosaminoglycan linker region enzyme, cause a spectrum of skeletal and connective tissue disorders.

Proteoglycans (PGs) are a major component of the extracellular matrix in many tissues and function as structural and regulatory molecules. PGs are composed of core proteins and glycosaminoglycan (GAG) side chains. The biosynthesis of GAGs starts with the linker region that consists of four sugar residues and is followed by repeating disaccharide units. By exome sequencing, we found that B3GALT6 encoding an enzyme involved in the biosynthesis of the GAG linker region is responsible for a severe skeletal dysplasia, spondyloepimetaphyseal dysplasia with joint laxity type 1 (SEMD-JL1). B3GALT6 loss-of-function mutations were found in individuals with SEMD-JL1 from seven families. In a subsequent candidate gene study based on the phenotypic similarity, we found that B3GALT6 is also responsible for a connective tissue disease, Ehlers-Danlos syndrome (progeroid form). Recessive loss-of-function mutations in B3GALT6 result in a spectrum of disorders affecting a broad range of skeletal and connective tissues characterized by lax skin, muscle hypotonia, joint dislocation, and spinal deformity. The pleiotropic phenotypes of the disorders indicate that B3GALT6 plays a critical role in a wide range of biological processes in various tissues, including skin, bone, cartilage, tendon, and ligament.

Communication skills training in oncology: it works!

While the previous chapter by L. Fallowfield and V. Jenkins focuses on different communication skills training (CST) concepts currently being utilized, this chapter reviews and comments the scientific evidence of the impact of CST on improving communication skills. The aim of this chapter is not to provide a complete review of the evidence-this has already been done in systematic reviews-but to discuss the scientific evidence and reflect on the available results and relevant topics for further investigations.

Texte et contexte dans la communication

DES FRONTIERES ENTRE TEXTE ET CONTEXTE : POINTS DE VUE THEORIQUES - Sur la métacommunication / C. Sluzki - De l'amour du texte à l'amour du contexte / J. Cosnier - Le dialogue entre l'intra-psychique et l'interpersonnel : une perspective développmentale / D. Stern - Texte et contexte. La perspective thermodynamique / R. Fivaz - Une position constructiviste pour la thérapie familiale / L. Hoffman MICROPROCESSUS DANS LES CONVERSATIONS : POINTS DE VUE EMPIRIQUES ET DEVELOPPEMENTAUX - Le contrat comme relation. Une étude des cadres sociaux du consentement / M. Modak - Recherche sur les axiomes de "Une logique de la communication" / J. Beavin-Bavelas - Distance physique ou distance psychique ? Les formations corporelles parents-bébé comme contextes de l'autonomisation dans la famille / C. Gertsch-Bettens - L'encadrement parental dans le jeu à trois. Une recherche exploratoire d'inspiration systémique / A. Corbosz-Warnery - L'évolution des formations corporelles lors de thérapies familiales en fonction de l'alliance thérapeutique / S. Serpa-Rusconi, P.-A. Doudin - Genèse de la négociation interpersonnelle des conflits : point de vue pragmatique / H. Jisa LES RECONTEXTUALISATIONS EN THERAPIE FAMILIALE - De l'ajustement du cadre en thérapie familiale / F. Seywert, E. Fivaz Depeursinge - Les questions réflexives, source d'autoguérison / K. Tomm...[et al.] - Langage et changement. L'usage de paroles-clés en thérapie / J. Pereira - Texte et contexte en psychosomatique : des modèles réductionnistes à une épistémologie de la complexité / L. Onnis

How siblings adjust sib-sib communication and begging signals to each other

Parents allocate food resources to their offspring in proportion to the intensity of begging behaviour. Begging encompasses several activities including vocalizations that should honestly signal need and jostling for the position in the nest where parents predictably deliver food items. Although siblings are known to adjust begging level to each other, the underlying mechanism remains unknown. We examined this issue in experimental two-chick broods of the barn owl, Tyto alba, a species in which siblings communicate vocally with each other in the prolonged absence of parents. The function of sib-sib vocal communication, so-called sibling negotiation, is to resolve conflicts over which individual will have priority of access to the next delivered indivisible food item. We found that when a nestling produced longer negotiation calls and stood closer to the nestbox entrance in the absence of parents, its sibling vocally negotiated at a lower rate. Additionally, when an individual produced more negotiation calls in the absence of parents, its sibling begged less intensely at the parent's return, with begging being the key factor that determined which nestling obtained a food item. We conclude that position in the nest and the duration of negotiation calls produced in the absence of parents influence the rate of producing negotiation calls, which in turn influences the rate at which siblings beg for food from their parents. Adjusting begging behaviour could therefore depend on complex sib-sib interactions taking place in the prolonged absence of parents.

Prevalence, prenatal diagnosis and clinical features of oculo-auriculo-vertebral spectrum: a registry-based study in Europe.

Oculo-auriculo-vertebral spectrum is a complex developmental disorder characterised mainly by anomalies of the ear, hemifacial microsomia, epibulbar dermoids and vertebral anomalies. The aetiology is largely unknown, and the epidemiological data are limited and inconsistent. We present the largest population-based epidemiological study to date, using data provided by the large network of congenital anomalies registries in Europe. The study population included infants diagnosed with oculo-auriculo-vertebral spectrum during the 1990-2009 period from 34 registries active in 16 European countries. Of the 355 infants diagnosed with oculo-auriculo-vertebral spectrum, there were 95.8% (340/355) live born, 0.8% (3/355) fetal deaths, 3.4% (12/355) terminations of pregnancy for fetal anomaly and 1.5% (5/340) neonatal deaths. In 18.9%, there was prenatal detection of anomaly/anomalies associated with oculo-auriculo-vertebral spectrum, 69.7% were diagnosed at birth, 3.9% in the first week of life and 6.1% within 1 year of life. Microtia (88.8%), hemifacial microsomia (49.0%) and ear tags (44.4%) were the most frequent anomalies, followed by atresia/stenosis of external auditory canal (25.1%), diverse vertebral (24.3%) and eye (24.3%) anomalies. There was a high rate (69.5%) of associated anomalies of other organs/systems. The most common were congenital heart defects present in 27.8% of patients. The prevalence of oculo-auriculo-vertebral spectrum, defined as microtia/ear anomalies and at least one major characteristic anomaly, was 3.8 per 100,000 births. Twinning, assisted reproductive techniques and maternal pre-pregnancy diabetes were confirmed as risk factors. The high rate of different associated anomalies points to the need of performing an early ultrasound screening in all infants born with this disorder.

The establishment of communication systems depends on the scale of competition

How communication systems emerge and remain stable is an important question in both cognitive science and evolutionary biology. For communication to arise, not only must individuals cooperate by signaling reliable information, but they must also coordinate and perpetuate signals. Most studies on the emergence of communication in humans typically consider scenarios where individuals implicitly share the same interests. Likewise, most studies on human cooperation consider scenarios where shared conventions of signals and meanings cannot be developed de novo. Here, we combined both approaches with an economic experiment where participants could develop a common language, but under different conditions fostering or hindering cooperation. Participants endeavored to acquire a resource through a learning task in a computer-based environment. After this task, participants had the option to transmit a signal (a color) to a fellow group member, who would subsequently play the same learning task. We varied the way participants competed with each other (either global scale or local scale) and the cost of transmitting a signal (either costly or noncostly) and tracked the way in which signals were used as communication among players. Under global competition, players signaled more often and more consistently, scored higher individual payoffs, and established shared associations of signals and meanings. In addition, costly signals were also more likely to be used under global competition; whereas under local competition, fewer signals were sent and no effective communication system was developed. Our results demonstrate that communication involves both a coordination and a cooperative dilemma and show the importance of studying language evolution under different conditions influencing human cooperation.