ABSTRACT
The premise of this article is that cognitive development involves both conceptual and semiotic achievements. From this perspective, the authors emphasize the distinctness of the semiotic issues and develop a differentiated appreciation of semiotic aspects of cognition, particularly in the field of elementary mathematical cognition. The authors provide semiotic analyses of the differences between counting, adding, and multiplying and of the conventional place-value sign system. The authors introduce the concept of the field of reference of a sign, the differentiation of the field into foreground and background, and the dynamics within the field of reference. Finally, the authors relate these ideas to the dynamics between two dimensions of semiotic relations: the sign-referent dimension and the sign-sign dimension.
Subject(s)
Child Development/physiology , Cognition/physiology , Concept Formation , Child , Child, Preschool , Female , Humans , Infant , Male , Mathematics , ThinkingABSTRACT
We studied the effect of botulinum-A toxin on spasticity of the leg adductors in 9 patients who were either chair-bound or bed-bound with chronic stable multiple sclerosis. We injected botulinum toxin (400 mouse units) or placebo into the adductor muscles in a randomized, crossover, double-blind design. Two physicians, who were unaware of the treatment order, used an objective rating scale and independently assessed the patients; interobserver correlation was excellent (r = 0.93-0.81). We found that botulinum toxin produced a significant reduction in spasticity (p = 0.009) and a significant improvement in the ease of nursing care (p = 0.009). There were no adverse effects during this short-term trial. This is the first demonstration of the beneficial effect of botulinum toxin on focal spastic muscle contractions.
