La recherche biomédicale en Suisse : espace social, discours et pratiques

Cette étude porte sur la recherche biomédicale en Suisse dans une perspective interprétative. Elle s'intéresse à l'usage que font les acteurs scientifiques et institutionnels de la catégorie «biomédical», à la signification qu'ils en donnent et aux processus de structuration de la recherche biomédicale autour de ces enjeux de catégorisation. Nous avons formulé l'hypothèse que le «biomédical» pouvait être considéré comme un label, à savoir une stratégie discursive de positionnement des acteurs, ou pouvait constituer un champ, à savoir un espace social de recherche fortement structuré. Pour pouvoir vérifier la validité de ces hypothèses, trois perspectives analytiques ont été retenues: topographie, discours et pratiques. Dans un premier temps, nous avons établi une topographie de la recherche biomédicale en repérant les acteurs (et leur appartenance disciplinaire) et les institutions qui s'associent au terme «biomédical», que ce soit pour décrire des institutions ou des projets de recherche. Les résultats de cette analyse offrent une première approximation d'un espace de la recherche en donnant une image d'un domaine peu unifié. Ainsi, l'usage de la catégorie «biomédical» dans les projets des chercheurs n'est pas le fait des seuls médecins et biologistes, mais également de représentants d'autres disciplines. La physique, la chimie et les sciences de l'ingénieur occupent ainsi également une place très importante dans cet espace de recherche. Puis, dans une perspective discursive, nous avons analysé le «biomédical» non seulement comme un label, mais également comme un objet-frontière permettant d'articuler différentes significations, de produire du sens là où des univers de recherche pourraient s'opposer, ou à coordonner des politiques qui ne l'étaient pas. L'analyse des différentes définitions du «biomédical» nous a confirmé l'existence d'un espace social marqué par une grande diversité disciplinaire, toutefois articulé autour d'un coeur médical et, plus particulièrement, d'une application médicale (potentielle ou actuelle). De plus, il ne semble pas y avoir de profondes luttes pour l'établissement de limites claires au «biomédical». Finalement, nous avons étudié les différentes activités de la production des savoirs (carrières, financement, collaboration, publication, etc.). Cette analyse a permis de comprendre que la diversité des définitions et des significations que les acteurs attribuent à la catégorie «biomédical» a aussi un ancrage dans la matérialité des réseaux sociotechniques dans lesquels les chercheurs s'inscrivent. Ces éléments confirment l'idée d'une fragmentation et d'une hétérogénéité de l'espace de la recherche biomédicale. En dépit de cette fragmentation, nous avons également montré que différentes mesures et instruments d'action publique visant à organiser et réguler les pratiques des chercheurs sont mis en oeuvre. Néanmoins et paradoxalement, la recherche biomédicale ne constitue pas pour autant un objet de politique scientifique abordé par les autorités politiques, en tous les cas pas sous l'angle de la catégorie «biomédical». Ces différents niveaux d'analyse ont permis d'arriver à la conclusion que la catégorie «biomédical» n'est pas suffisamment institutionnalisée et que le degré d'interaction entre l'ensemble des chercheurs qui en font usage est trop faible pour que l'on puisse considérer le «biomédical» comme un espace social fortement organisé et structuré, à savoir un champ de la recherche biomédicale. Cela est principalement lié au fait que les acteurs ne partagent pas les mêmes définitions de ce qu'est (ou devrait être) le «biomédical», que leurs pratiques de recherche s'inscrivent dans des univers relativement séparés, et que cette diversité ne donne pas lieu à de fortes luttes pour l'imposition d'une définition légitime ou de normes d'excellence scientifiques dominantes. Par contre, les analyses ont permis de confirmer la validité du «biomédical» comme label, puisque les acteurs se servent de cette catégorie pour valoriser leurs pratiques de recherche et se positionner, même si d'autres notions ont émergé ces dernières années («translationnel», «biotech», «medtech», médecine personnalisée, etc.). On peut, in fine, considérer le «biomédical» comme un probable langage commun («objet-frontière») reposant tant sur la scientificisation du médical que sur la médicalisation des sciences («de base» et «techniques »), visant à améliorer les conditions de possibilité d'un dialogue fructueux entre chercheurs fondamentaux et cliniciens

Motivation and personality factors of Generation Z high school students aspiring to study human medicine

Background: A new generation of medical students, Generation Z (Gen Z), is becoming the predominant population in medical schools and will join the workforce in a few years’ time. Medicine has undergone serious changes in high-income countries recently. Therefore, it is unclear how attractive the medical profession still is for high school students of Gen Z. The aim of this study was to investigate what motivation leads Gen Z students in their choice to study human medicine, and how they see their professional future. Our study was guided by motivation theory and the influence of personality traits and other personal factors on students’ choice of university major. Methods: In a cross-sectional online survey, we included third- and fourth-year high school students in Northern Switzerland. We examined the importance of criteria when choosing a university major: personality traits, career motivation, life goals, and other considerations influencing the choice of human medicine versus other fields of study. Results Of 1790 high school students, 456 (25.5%) participated in the survey (72.6% women, mean age 18.4 years); 32.7% of the respondents aspired to major in medicine at university. For all respondents, the foremost criterion for selecting a field of study was ‘interest in the field,’ followed by ‘income’ and ‘job security.’ High school students aiming to study human medicine attached high importance to ‘meaningful work’ as a criterion; supported by 36.2% of those students answering that helping and healing people was a core motivation to them. They also scored high on altruism (p < 0.001 against all groups compared) and intrinsic motivation (p < 0.001) and were highly performance- (p < 0.001) and career-minded (p < 0.001). In contrast, all the other groups except the law/economics group had higher scores on extraprofessional concerns. Conclusions: Swiss Gen Z students aspiring to study human medicine show high intrinsic motivation, altruism, and willingness to perform, sharing many values with previous generations. Adequate work-life balance and job security are important issues for Gen Z. Regarding the current working conditions, the ongoing shortage of physicians, and recent findings on physicians’ well-being, the potential for improvement and optimization is high

Using white noise to gate organic transistors for dynamic monitoring of cultured cell layers.

Impedance sensing of biological systems allows for monitoring of cell and tissue properties, including cell-substrate attachment, layer confluence, and the "tightness" of an epithelial tissue. These properties are critical for electrical detection of tissue health and viability in applications such as toxicological screening. Organic transistors based on conducting polymers offer a promising route to efficiently transduce ionic currents to attain high quality impedance spectra, but collection of complete impedance spectra can be time consuming (minutes). By applying uniform white noise at the gate of an organic electrochemical transistor (OECT), and measuring the resulting current noise, we are able to dynamically monitor the impedance and thus integrity of cultured epithelial monolayers. We show that noise sourcing can be used to track rapid monolayer disruption due to compounds which interfere with dynamic polymerization events crucial for maintaining cytoskeletal integrity, and to resolve sub-second alterations to the monolayer integrity

Combined optical and electronic sensing of epithelial cells using planar organic transistors.

A planar, conducting-polymer-based transistor for combined optical and electronic monitoring of live cells provides a unique platform for monitoring the health of cells in vitro. Monitoring of MDCK-I epithelial cells over several days is shown, along with a demonstration of the device for toxicology studies, of use in future drug discovery or diagnostics applications

High-performance transistors for bioelectronics through tuning of channel thickness.

UNLABELLED: Despite recent interest in organic electrochemical transistors (OECTs), sparked by their straightforward fabrication and high performance, the fundamental mechanism behind their operation remains largely unexplored. OECTs use an electrolyte in direct contact with a polymer channel as part of their device structure. Hence, they offer facile integration with biological milieux and are currently used as amplifying transducers for bioelectronics. Ion exchange between electrolyte and channel is believed to take place in OECTs, although the extent of this process and its impact on device characteristics are still unknown. We show that the uptake of ions from an electrolyte into a film of poly(3,4-ethylenedioxythiophene) doped with polystyrene sulfonate ( PEDOT: PSS) leads to a purely volumetric capacitance of 39 F/cm(3). This results in a dependence of the transconductance on channel thickness, a new degree of freedom that we exploit to demonstrate high-quality recordings of human brain rhythms. Our results bring to the forefront a transistor class in which performance can be tuned independently of device footprint and provide guidelines for the design of materials that will lead to state-of-the-art transistor performance

Organic transistor platform with integrated microfluidics for in-line multi-parametric in vitro cell monitoring.

Future drug discovery and toxicology testing could benefit significantly from more predictive and multi-parametric readouts from in vitro models. Despite the recent advances in the field of microfluidics, and more recently organ-on-a-chip technology, there is still a high demand for real-time monitoring systems that can be readily embedded with microfluidics. In addition, multi-parametric monitoring is essential to improve the predictive quality of the data used to inform clinical studies that follow. Here we present a microfluidic platform integrated with in-line electronic sensors based on the organic electrochemical transistor. Our goals are two-fold, first to generate a platform to host cells in a more physiologically relevant environment (using physiologically relevant fluid shear stress (FSS)) and second to show efficient integration of multiple different methods for assessing cell morphology, differentiation, and integrity. These include optical imaging, impedance monitoring, metabolite sensing, and a wound-healing assay. We illustrate the versatility of this multi-parametric monitoring in giving us increased confidence to validate the improved differentiation of cells toward a physiological profile under FSS, thus yielding more accurate data when used to assess the effect of drugs or toxins. Overall, this platform will enable high-content screening for in vitro drug discovery and toxicology testing and bridges the existing gap in the integration of in-line sensors in microfluidic devices

Mechanical properties and fracture patterns of graphene (graphitic) nanowiggles

publisher: Elsevier articletitle: Mechanical properties and fracture patterns of graphene (graphitic) nanowiggles journaltitle: Carbon articlelink: http://dx.doi.org/10.1016/j.carbon.2017.04.018 content_type: article copyright: © 2017 Elsevier Ltd. All rights reserved.publisher: Elsevier articletitle: Mechanical properties and fracture patterns of graphene (graphitic) nanowiggles journaltitle: Carbon articlelink: http://dx.doi.org/10.1016/j.carbon.2017.04.018 content_type: article copyright: © 2017 Elsevier Ltd. All rights reserved.This work was supported in part by the Brazilian Agencies CNPq, CAPES and FAPESP. The authors would like to thank the Center for Computational Engineering and Sciences at Unicamp for financial support through the FAPESP/CEPID Grant 2013/08293-7. N.M.P. is supported by the European Research Council PoC 2015 “Silkene” No. 693670, by the European Commission H2020 under the Graphene Flagship Core 1 No. 696656 (WP14 “Polymer Nanocomposites”) and under the Fet Proactive “Neurofibres” No. 732344

Fabrication and characterisation of hybrid photodiodes based on PCPDTBT–ZnO active layers

We report the fabrication and characterisation of an organic–inorganic hybrid photodiode (HPD) based on PCPDTBT and Zinc Oxide (ZnO) photoactive layers. The main benefit of using these materials is that multi spectral light sensing from the UV through to the Near Infrared is achieved, encompassing wavelengths ∼350–870 nm. To our knowledge, this is one of the widest range responses reported for an inorganic–organic hybrid photodiode. The evaluation of the technology shows the devices exhibit one of the lowest levels of dark currents reported for a HPD, but some limitations exist due to a low on–off ratio and non-linearity of the responsivity at low incident power. The stability of devices made with PCPDTBT:ZnO active layers is compared to more commonly reported P3HT:ZnO devices in dark and it is shown that using PCPDTBT substantially improves lifetime