The study also extends the

The study also extends the Ku-0059436 price knowledge on the long-term effect of DSD on mortality. The occurrence of DSD should be seen and considered by clinicians as an important prognostic factor. Future investigations are required

to evaluate the inclusion of DSD in prognostic models for health care planning and to test intervention protocols to improve functional outcomes in patients with DSD. “
“Guidelines for dietary protein intake have traditionally advised similar intake for all adults, regardless of age or sex: 0.8 grams of protein per kilogram of body weight each day (g/kg BW/d).1, 2 and 3 The one-size-fits-all protein recommendation does not consider age-related changes in metabolism, immunity, hormone levels, or progressing frailty.4 Indeed, new evidence shows that higher dietary protein ingestion is beneficial to support good health, promote recovery from illness, and maintain functionality in older adults (defined as age >65 years).5, 6, 7, 8, 9 and 10 The need for more dietary protein is in part because of a declining anabolic response GSK-3 inhibitor to protein intake in older people; more protein is also needed to offset inflammatory and catabolic conditions associated with chronic and acute diseases that occur commonly

with aging.5 In addition, older adults often consume less protein than do young adults.11, 12 and 13 A shortfall of protein supplies relative to needs can lead to loss of lean body mass, particularly muscle loss.14 As a result, older people are at considerably

higher risk for conditions such MG-132 supplier as sarcopenia and osteoporosis than are young people.15, 16 and 17 In turn, sarcopenia and osteoporosis can take a high personal toll on older people: falls and fractures, disabilities, loss of independence, and death.4, 16, 17 and 18 These conditions also increase financial costs to the health care system because of the extra care that is needed.19 With the goal of developing updated evidence-based recommendations for optimal protein intake by older people, the European Union Geriatric Medicine Society (EUGMS), in cooperation with other scientific organizations, appointed an International Study Group led by Jürgen Bauer and Yves Boirie, and including 11 other members, to review dietary protein needs with aging (PROT-AGE Study Group). Expert participants from around the world were selected to represent a wide range of clinical and research specialties: geriatric medicine, internal medicine, endocrinology, nutrition, exercise physiology, gastroenterology, and renal medicine. This PROT-AGE Study Group reviewed evidence in the following 5 areas: 1. Protein needs for older people in good health; The PROT-AGE Study Group first met in July 2012, followed by numerous e-mail contacts.

The nearshore geology, based on 1:50,000 geological maps (IGME),

The nearshore geology, based on 1:50,000 geological maps (IGME), was complemented with onshore field observations (Alves and Lourenço, 2010, Bathrellos et al., 2012 and Kokinou et al., 2013) as well as offshore information (Alves et al., 2007 and Kokinou et al., 2012). All information was digitized and included in an ARCGIS database. The location of NATURA 2000 sites were taken from public EU data (http://cdr.eionet.europa.eu/gr/eu/n2000/envujeg6w).

Oceanographic inputs for the study area considered a predominant SE–NW current direction, potentially transporting pollutants towards the southwest coast of Crete. Geographic Information Systems (GIS) were used to combine and interpret the datasets and their derivatives. Maps were created using interpolation algorithms, such as Kriging in the initial step, that compute the spatial distribution of specific geological, bathymetric, and oceanographic properties. 5-FU cell line Kriging is based on statistical models (autocorrelation), variogram modelling,

creating the surface, and (optionally) exploring a variance surface. The oil-spill model used in this work is the well-established MEDSLIK (Mediterranean oil spill and floating objects predictions) in its latest operational version 5.3.7 (Lardner and Zodiatis, 1998, Lardner et al., 2006, Zodiatis et al., 2012b and Lardner, 2013). The MEDSLIK is a 3D oil-spill model that can predict the transport, fate and weathering of oil spills at any given sea location, or region, upon the availability of oceanographic and weather data. In particular, MEDSLIK has been adapted and used for real incidents, www.selleckchem.com/products/pexidartinib-plx3397.html such as the Lebanon oil pollution crisis in summer 2006 (Lardner et al., 2006, World Bank, 2007 and Coppini et al., 2011), which is considered the largest oil spill accident to ever affect the Eastern Mediterranean. MEDSLIK has

been used operationally from 2007 until April 2012 to provide short predictions for any oil spills detected from satellite SAR (Synthetic Aperture Radar) images in the Eastern Mediterranean (Zodiatis et al., 2012b). MEDSLIK is also at the core of the Mediterranean mafosfamide Decision Support System for Marine Safety (www.medess4ms.eu; Zodiatis et al., 2012a), aiming to establish by the end of 2014 a multi model oil-spill prediction service for the entire Mediterranean. This service will use all the available operational oceanographic and atmospheric forecasting data coming from the Copernicus (former GMES-Global monitoring for environment and security) marine service and the national operational oceanographic forecasting systems, as well as data from satellite SAR images and the AIS (Automatic Identifications of Ships). It is of worth to mention that the source code of MEDSLIK has been released and well documented under MEDSLIK-II (De Dominicis et al., 2013a and De Dominicis et al., 2013b), aiming to assist at European level further developments in oil spill prediction modelling.

The statistical routines employed use correlation structures pres

The statistical routines employed use correlation structures present amongst thousands of microarray spots to reduce those into linear combinations representing a limited number of systematic trends. A sample can then be characterized by the ‘weight’ of each of the trends present within the different samples under consideration, simplifying greatly their graphical representation or the prediction

of an external variable. By using a particular retrospective cohort of clinically selleck kinase inhibitor well characterized CMA children of various age and samples collected from those patients in multiple visits, we aimed at reporting a real situation faced by pediatric allergist at Brazilian reference center for food allergy and possibly worldwide. This cohort, although reduced, when analyzed by a large and comprehensive array with four immunoglobulin isotypes, resulted into qualitative and quantitative information that were modeled into predictive routines. The protein microarray analyses (extract preparations, printing, and hybridization) for the four immunoglobulin isotypes (IgA, IgG, IgM and IgE) using a four-laser scanner were carried out essentially as previously described (Renault et al., 2011) but using 16-pad nitrocellulose PD 332991 coated glass slides (FAST slides; Whatman Schleicher

& Schuell; Dassel, Germany) instead of the full pad described therein. The list of extracts used in this reduced set is shown in Table 1. Data from the scanner was processed using GenePix Pro software v6.0.1.27 (Axon Instruments). Triplicate spot readings were averaged for both the serum sample slide and the control slide (no serum sample). Control protein spot microarray data was subtracted from the sample slide to Suplatast tosilate eliminate non-specific binding and inherent autofluorescence of some proteins using dedicated in-house programs run on Matlab (version 7.1 (R14SP3), The Mathworks Inc., USA) using an Excel link toolbox (Mathworks) and the Dataset

Object (Version 5.0, Eigenvector Research Inc., USA). Univariate Statistics were performed using SPSS (PASW Statistics 18, IBM, USA). Multivariate Data Analysis was carried out using the PLS Toolbox (Version 5.8.3, Eigenvector Research Inc., USA) using Principal Components Analysis (PCA) (Pearson, 1901) for data exploration/visualization and Partial Least Squares Regression (PLSR) (Geladi and Kowalski, 1986) method for building regression models. PLS‐DA (Ståhle and Wold, 1987) was used for general classification. Internal cross validation was employed to assess the number of latent variables (aforementioned data trends) necessary to build models that were as concise as possible with minimal predictive error.

However, the mechanism by which mTORC2 is activated upon interact

However, the mechanism by which mTORC2 is activated upon interaction with ribosomes still needs to be clarified. Glutaminolysis provides an interesting mTOR-related link between metabolism and cancer. Omipalisib cost Highly proliferating cancer cells are often glutamine-addicted, and tumor growth correlates with the activity of glutaminase (GLS), the enzyme that catalyzes the first step of glutaminolysis [123 and 124]. Conversely, inhibition of GLS blocks cancer development and slows growth in certain gliomas [125 and 126]. Duran et al. [ 63••] recently demonstrated that glutaminolysis also activates mTORC1, thereby

promoting cell growth and inhibiting autophagy [ 63••]. These findings suggest that glutaminolysis promotes cancer, at least partly, via mTORC1 activation. Targeting both glutaminolysis and mTORC1 may be a strategy for treatment of glutamine-addicted tumors. This review emphasizes the importance of mTOR signaling in aging, whole body metabolism, and cancer. Tissue-specific mTORC1 and mTORC2 deletions have revealed that each of the two complexes has different

roles in different organs with regard to whole body glucose and lipid homeostasis. For example impaired mTORC2 signaling in the Dabrafenib concentration liver and muscle leads to a diabetic phenotype whereas mTORC2 deletion in adipose tissue does not cause diabetes. Similarly, deletion of mTORC1 signaling in muscle but not in adipose tissue or liver leads to glucose intolerance. Thus, the development of treatments that target mTOR signaling to delay aging or to treat metabolic

disorders and cancer will require understanding tissue-specific mTOR signaling. Even though rapamycin has been shown to increase lifespan and to protect against cancer, side effects such as immunosuppression or diabetes may limit rapamycin’s usefulness as a potential longevity drug. Papers of particular interest, published within the period of review, have been highlighted find more as: • of special interest We acknowledge support from the Swiss National Science Foundation, the Swiss Cancer League, the Louis–Jeantet Foundation, the SFD-ALFEDIAM (MC), the Werner Siemens Foundation (VA) and the Canton of Basel. “
“Current Opinion in Genetics & Development 2013, 23:72–74 Available online 28th Feb 2013 0959-437X/$ – see front matter, © 2013 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.gde.2013.01.006 In animals, early stages of embryo development are associated with extensive epigenetic reprogramming to coordinate zygotic genome activation (ZGA) [2]. ZGA is typically delayed, although to a varying extent depending on the species, with a gradual loss of the maternal dominance and increase of zygotic influence [1 and 2].

In the first case there is held to be a change in the individual’

In the first case there is held to be a change in the individual’s impairment. When the studies with methodological weaknesses were excluded, then 11 of the 44 people given phonological or orthographic information showed some generalisation to untreated items. Thus, around a quarter of participants in these studies improved on untreated as well as treated items. Findings from approaches involving ‘strategy’ and aimed at re-organising processes, such as orthographic self-cueing, were even more encouraging.

Thirteen of nineteen cases showed some GDC-0068 chemical structure generalisation. Such approaches are, however, suitable for only some individuals with particular strengths (e.g., in retrieving orthographic knowledge). Interestingly, in a case series intervention using written cues, sixteen of eighteen participants improved on written naming, and four of these showed transfer to untreated items (Deloche et al., 1997; see also Carlomagno et al., 2001). This mirrors Nickels’ review in suggesting around one quarter may demonstrate generalisation in word production. There are several experimentally controlled single case studies with participants with deficits in post-lexical processing where intervention resulted in improvement on both treated and untreated items (Fisher et al., 2009; Franklin et al., 2002; Robson et al., 1998) For example,

Fisher et al. (2009) worked with a man with ‘mild phonological encoding impairment’. He showed significant generalisation to untreated items from an intervention which involved Gefitinib attempting to name pictures with unrelated names or with shared phonology (magnet, mattress, macaroni). In contrast, Waldron et al. (2011) found no generalisation to untreated items, despite employing a previously successful intervention (Franklin et al.,

2002). The participants in Waldron’s study had a combination of lexical (stage 2) and post-lexical (stage 3) impairments. Raymer et al. (2012), in a study investigating errorless naming treatment and gestural facilitation of naming did not obtain generalisation to untrained items for the three participants with semantic anomia, but obtained some generalisation in naming for three of five participants with phonological anomia. Finally, studies using orthographic cueing aids demonstrate convincing generalisation to untreated BCKDHB items (Best et al., 1997; Bruce and Howard, 1987; Howard and Harding, 1998). We aimed to explore the effects of a cueing hierarchy, especially generalisation to untreated items, and to relate the outcome to level of breakdown in naming. Specifically, we ask: (i) Can a cueing therapy improve word production (i.e., retrieval of meaning and form and phonological encoding) in participants with aphasia? From previous studies we predicted: (a) those with a post-semantic deficit, stage 2, with relative strengths in semantic and phonological output processing and a specific deficit in retrieving lexical forms will show item specific changes in naming (following e.g.

78 Indeed, although placebo-treated animals progressively lost bo

78 Indeed, although placebo-treated animals progressively lost body weight, lean and fat mass, espindolol-treated animals showed increases in all these parameters without affecting cardiac

function. Key regulators of muscle catabolism showed reduced expression under espindolol treatment. Another animal study showed that the beneficial effects of espindolol on wasting were more pronounced than those of other beta-blockers.79 The ACT-ONE trial was designed to test whether MT-102 (espindolol) will positively impact the rate of change www.selleckchem.com/products/MDV3100.html of body weight in cancer cachexia. The trial’s preliminary results were recently published in abstract form.80 and 81 It enrolled a total of 87 patients with non–small cell lung cancer or colorectal cancer from

17 centers who were in stage 3 or 4 of the disease. Patients were randomized in a 3:1:2 fashion to 1 of 2 doses of espindolol (10.0 or 2.5 mg twice daily) or placebo and treated for 16 weeks. Only the higher dose of espindolol improved lean and fat mass. Hand grip strength increased significantly after 16 weeks in the low-dose and high-dose treatment groups, but stair climbing power and 6-minute walking distance did not. Muscle wasting and cachexia remain great challenges in clinical practice. Clinical trials in this field remain small, and most are undertaken in oncology patients. Much research

has check details focused on appetite stimulation (mostly using megestrol acetate), anti-inflammatory pathways, and anabolics. Ghrelin has shown some potential in clinical trials as has enobosarm. Results of the POWER trial with enobosarm, one of the few large-scale trials to improve muscle mass and function in patients with advanced cancer, are eagerly awaited. In addition, results of the ACT-ONE trial using the anabolic/catabolic transforming agent espindolol have shown promising results. This paper is also published in parallel in International Journal of Cardiology. “
“The population of very old people (aged ≥85 years) is growing Liothyronine Sodium rapidly, along with an increasing prevalence of hypertension.1 and 2 The association between blood pressure (BP) and mortality is not entirely understood in this population, including those with multimorbidity and those living in residential care facilities. Results of population-based studies3, 4, 5, 6, 7, 8, 9 and 10 have suggested that hypertension is not a risk factor for death in very old individuals. Antihypertensive treatment has been shown to have positive effects on cardiovascular morbidity in a systematic review11 and a large meta-analysis12 of randomized controlled trials, but neither study found any effect on overall mortality in people aged 80 years or older.

The combined cost function for n buoys is: equation(8) cost=12∑i=

The combined cost function for n buoys is: equation(8) cost=12∑i=1n(Ri-ri)2σri2+(Li-li)2σli2,where equation(9) σri2=ηi2+ϕi2, equation(10) σli2=ηli2+ϕi2+ϕL2,and each i is a buoy and the denominators are the summed uncertainties. The model output in the default configuration has zonally oriented bands in correlation and lead time, especially in the Central and Eastern Pacific. The model correlation, R, is enhanced along the equator and flanked by wider bands of very low R from about 1.5°N to 5°N and 2°S to 5°S ( Fig. 4). Model lead time, L, has a similar structure, with longer lead times

along Protein Tyrosine Kinase inhibitor the equator, flanked to the north and south by broad bands of lower lead times ( Fig. 8). While the network of buoys has a much lower spatial resolution, the same structure of enhanced r and reduced l is evident along the equator. Zonal bands of diminished r and enhanced l are evident along 2°N and 5°N and S, but are

difficult to resolve. Further from the equator, along 8°N and S, model correlation and lead time show little similarity to data. In all experiments, the model overestimates the magnitude of the average τ-SST correlation, ranging from 5.8% to 25.6%, and by 24.4% in the default configuration. All but two experiments reduce this bias relative to the default winds and parameters, yet none eliminate the bias ( Fig. 6). The correlation is highly sensitive to wind forcing product ( Figs. 6 and 7): the NOAA wind product (Exp. 2) reduced the correlation relative to the default experiment by 14.7%, while the greatest sensitivity to any parameter (the critical gradient Richardson number Rio) was a reduction in Selleck Ribociclib correlation by just 6.4% (Exp. 6). This is especially true in the Central and Eastern Pacific, as alternative wind products tend to

reduce the correlation relative to the default, bringing it close to observations ( Fig. 7). At 47 out of 65 buoys the model correlation with default KPP Sitaxentan parameters is greater than the observational correlation ( Fig. 4). A zonal pattern in misfit is also evident, as the overestimation is generally more significant for buoys farther from the equator ( Fig. 4). The overestimation is exaggerated from 180°W westward, due to a modeled increase in the magnitude of the correlation relative to the Eastern Pacific that is not as distinct in the observations ( Fig. 7). This may be related to the separation between the deep thermocline and the shallow mixed layer in the Western Pacific, which may act as a barrier to the entrainment of cooler water from the thermocline to the surface during wind events ( Lukas and Lindstrom, 1991). The lead time to maximum correlation has a meridional spatial pattern, increasing in the Eastern Pacific in both the model (L) and in observations (l) ( Figs. 8 and 9). The model also shows a slight decrease in lead time from the Western Pacific eastward toward the Central Pacific, but this is less evident in the observations ( Fig. 9).

The lysine residues at positions 54 and 69 were conserved in PLA2

The lysine residues at positions 54 and 69 were conserved in PLA2s from snake venoms. In addition, mTOR inhibitor we observed that the amino acid residues Phe106, Lys110, Asp114 and Trp118 were conserved in the acidic Asp49-PLA2s from the Bothrops genus. However, the epitopes Tyr52–Tyr73 and Phe106–Phe119 were specifically recognized by anti-crotalic horse antivenom and not by anti-bothropic horse antivenom, which suggests that the anticoagulant activity of BthA-I was best neutralized by the anti-crotalic horse antivenom. Toxins with similar biological actions usually present structural similarities, which are reflected in their antigenic cross-reactivity and consequent neutralization by heterologous

antivenom sera. Only a few reports have shown antigenic cross-reactivity between B. jararacussu and C. durissus ssp venoms that specifically focused on the PLA2s from both venoms ( de Roodt et al., 1998, de Roodt et al., 1999, Oshima-Franco et al., 2001, Beghini et al., 2007 and Correa-Netto et al., 2010). One report identified linear B-epitopes in myotoxin II, selleck compound a Lys49-PLA2 from B. asper snake venom, by PepSets™-ELISA

assays using a specifically generated rabbit antitoxin serum and a therapeutic polyvalent Crotalinae horse antivenom ( Lomonte, 2012). Their therapeutic antivenom was generated against a mixture of B. asper, Crotalus simus and Lachesis stenophys snakes venoms, which precluded an analysis of cross-reactivity of antibodies against one venom recognizing epitopes in ID-8 a different venom, a major aim of this study. Our use of two therapeutic antivenom generated independently against bothropic and crotalic venoms permitted our analysis of cross reactivity. While it was difficult to directly compare results, the differences highlight the need for careful

attention to the sources of venoms and antivenom. The results of our antigenic map also reinforce the need for the application of multiple antivenom sera; only two epitopes were detected specifically by the anti-bothropic horse antivenom in relation to four epitopes to the anti-crotalic horse antivenom. Together, it is proposed that; (1) the improved performance observed with the application of both antivenom sera compared to a single antivenom is a result of synergism from expanded specificity rather than shared antigenic determinants, (2) the therapeutic contributions of the anti-crotalic horse antivenom can be linked to the interaction of its antibodies to important regions of BthTX-II and BthA-I and (3) the anti-bothropic horse antivenom appears to neutralize the sites of BthTX-I that are proposed to be myotoxic. The commercial anti-bothropic horse antivenom produced in Brazil by the Vital Brazil Institute and other institutes is prepared by hyperimmunization of horses with a pool of venoms from B. jararacussu, B. jararaca, Bothrops moojeni, B. alternatus and B. neuwiedi while the anti-crotalic antivenom is produced using only C.

The gene expression results we obtained were compared with the en

The gene expression results we obtained were compared with the enzyme activity data obtained for the tested CYPs (CYP1A1/1B1, CYP1A2, CYP2A6/2A13 and

CYP2E1). When BEAS-2B cells were pre-incubated with TCDD, CYP1A1/1B1 activity showed a statistically significant increase compared to non-treated cultures (Fig. 3A). This concurs with the gene up-regulation described earlier. TCDD-induced BEAS-2B cells showed an activity of 0.2 RLU/mg/min while HBEC cultures have been reported to show selleck chemicals llc an enzyme activity level between 4.3 and 7.3 RLU/mg protein/min (Newland et al., 2011). No activity was observed in BEAS-2B cells for the other three CYPs analyzed (CYP2E1, CYP2A6/2A13 and CYP1A2) which confirms the findings from our gene expression analysis. Previous studies have also reported no detectable CYP1A2 activity in BEAS-2B cells and lung microsomes (Van Vleet et al., 2002 and Shimada et al., 1992), however, CYP1A2 activity could be induced by

environmental factors and specific CYP1A2 gene polymorphisms increasing lung cancer risk as recently reviewed (Pavanello Dasatinib nmr et al., 2012). The activity related to CYP2A and CYP2E1 has not been previously reported in BEAS-2B cells, but has been detected in human lung (Hukkanen et al., 2002). Newland et al. also reported that HBEC cultures from three (-)-p-Bromotetramisole Oxalate different donors showed a CYP2A6/2A13 activity between 0.15 and 1.33 pmol/mg/min (Newland et al., 2011) a similar study by Runge and colleagues showed that CYP2E1 activity in HBEC (0.6 pmol/mg/min),

however substantial inter-individual variability was reported as only two out of the four donors showed CYP2E1 activity (Runge et al., 2001). Overall, the relative enzyme activity level in BEAS-2B cells appears limited compared with normal tissue. For instance, immunobloting of human lung microsomes have been used to detect CYP1A1, 1B1, 2A6, 2B6, 2C9, 2D6, 2E1, 2F1 and 3A4/5 in normal airway tissue (Hukkanen et al., 2002 and Bernauer et al., 2006). In HBEC, these CYPs have been reported to show both gene expression and enzyme activity, however, high interindividual variability between different donors was also noted (Runge et al., 2001, Newland et al., 2011, Anttila et al., 2011 and Castell et al., 2005). The lack of gene expression for the majority of metabolizing enzyme-encoding genes tested, with or without induction by TCDD, and the lack of activity for three out of the four selected P450 enzymes indicates that BEAS-2B cells might not be suitable to study the toxicity of some inhaled pro-toxicants without an external source of metabolic activation (S9 fractions, microsomes, co-cultures or in vitro liver-like cell lines amongst others) ( Brandon et al., 2003).

Ce congrès de mars est depuis 46 ans l’expression la plus visible

Ce congrès de mars est depuis 46 ans l’expression la plus visible du Collège français de pathologie vasculaire, à présent parfaitement articulé avec le congrès d’automne de la Société française de médecine vasculaire. Michel aimait ce congrès, ce qu’il s’y disait, ce qu’il s’y faisait, les contacts qu’il

y nouait avec les congressistes médecins, soignants non médecins, partenaires de l’industrie pharmaceutique ou organisateurs. Il aimait ce congrès parce qu’il aimait chacune et chacun des congressistes qu’ils viennent de l’autre côté de la rue ou de beaucoup plus loin et Michel n’aurait pas été indifférent Dapagliflozin in vitro au fait que cet hommage Proteases inhibitor lui soit rendu le jour où à l’initiative de Jean-Pierre Laroche, le Collège accueille les Sociétés de médecine vasculaire

d’Algérie, du Maroc et de Tunisie dans le cadre d’un congrès présidé par un collègue belge, notre ami le professeur Wautrecht. Michel savait aussi être excessif, par exemple lorsqu’il se qualifiait de « saltimbanque des congrès d’angiologie » quoique, par la façon dont il conclut la séance que j’organisais en 2007 comme président de congrès, Michel montra à l’assemblée présente des talents que beaucoup ne lui connaissaient pas ! Longue d’ailleurs serait la liste des idées décalées et heureusement jamais appliquées que Michel et moi avons eues pour égayer telle ou telle séance des congrès. Sans doute êtes-vous nombreux à avoir croisé l’année

passée, ici à la maison de la chimie, Michel bien sûr fatigué, peut-être déjà le regard tourné vers un horizon qui nous dépasse mais totalement investi dans l’orchestration de ce congrès. Les journées de mars achevées, Michel reprit le chemin de la maison de l’angiologie devenue à la triclocarban fois un repère quand volent en éclat les certitudes et un abri dans l’attente des épreuves à venir. L’attention et le dévouement de Françoise lui ont permis de poursuivre son travail quand il le souhaitait, comme il le souhaitait. Le Collège rendait enfin à Michel un peu de l’humanité qu’il lui avait apporté. À propos d’humanité et sans revenir sur les prix littéraires, à mon sens les seuls dignes d’intérêt pour Michel, il est un prix auquel Michel aurait pu légitimement prétendre sans la moindre chance de ne jamais l’obtenir sauf à déclencher un effroyable conflit d’intérêt, c’est le prix Humanisme et Médecine. Ce prix fut créé par le Collège, il y a plus de dix ans, pour rappeler la part de l’humain dans l’exercice de la médecine, l’apprentissage et la transmission des connaissances. J’aurais sans difficulté imaginé Michel, navigateur et romancier, inscrire son nom au côté de ceux de Maud Fontenoy et de Jean-Christophe Ruffin.