Sceaux détachés (originaux en cire), cachets, armoiries, jetons et médailles, dessinés ou gravés. XI 356 numéros (ex-libris armoriés, sceaux dessinés ou gravés, cachets, armoiries, dessins de jetons et médailles, etc.).

Contient : N° 53 Sceau de Catherine d'Alençon, duchesse de Bavière (1416) ; Nos 56 et 57 Sceaux de Jean, duc de Calabre et de Lorraine (31 octobre 1465) et de son fils aîné ; N° 58 Sceau de Marguerite, reine d'Angleterre (1470) ; N° 59 Sceau de Bernardin Bochetel, évêque de Rennes (1564) ; N° 61 « S. Petri, Dei gratia archiepiscopi Tholosani » [Pierre V de Lion ?] ; Nos 62 et 64 Sceau de Robert d'Alençon, comte du Perche (1370 et 1375) ; Nos 72 et 81 Médailles du roi René (dessins) ; N° 73 Sceau de Jeanne, reine de Jérusalem, Sicile et Aragon (1498), avec contre-sceau ; N° 74 Sceau et contre-sceau de Louis de France, duc d'Anjou et roi de Sicile ; N° 75 Sceau d'Isabelle, comtesse du Maine et de Guise (1462), avec contresceau ; N° 76 Sceau et contre-sceau de René d'Anjou, roi de Sicile et de Jérusalem ; N° 77 « [S. Nicolai] ducis Calabrie, Lotharingie, A[ndegavie]..., » avec contre-sceau ; N° 78 Sceau de Pierre, comte d'Alençon, seigneur de Fougères, vicomte de Beaumont (1378), avec contre-sceau ; Nos 79 et 82 Sceau et contre-sceau de Louis II, roi de Jérusalem et de Sicile et comte d'Anjou (1407 et 1408) ; Nos 80 et 88 Sceau et contre-sceau de Robert, comte d'Artois ; N° 84 « S. novum Ludovici, regis Fran. filii, ducis Andegavensis et comitis Cenomannensis, » avec contre-sceau (1374) ; N° 85 Sceau et contre-sceau de Catherine, fille aînée du duc d'Alençon, « comtesse de Montfort, dame de Sonois » ; N° 86 Sceau et contre-sceau de Charles, comte du Maine (1451) ; N° 87 « Scel René d'Anjou, chlr., baron et s. de Mézières et de Thury, » avec contre-sceau ; N° 89 Sceau de Yolande reine de Jérusalem et de Sicile (1428) ; N° 94 Sceau d'Henri de Carinthie, évêque de Troyes ; cf. vol. 3101, n° 8 ; N° 101 Sceau de Charles, comte d'Alençon (1361) ; N° 112 Sceau d'Antoine de Cravant, abbé de la Trinité de Vendôme ; cf. vol. 3113, n° 7 ; N° 113 « Sigillum Johannis, episcopi Silvanectensis » [Jean Neveu † 1499, ou Jean Calveau † 1522] ; N° 115 Sceau de Jean de Tinteniac du Percher, abbé de Saint-Aubin († 1525) ; N° 120 « Scel Pierre, bastart d'Alençon » (1419) ; N° 128 « Constras. Ludovici, regis condam Francor. filii, ducis Andegavie et comit. Cenamanie. » ; N° 154 Sceau de Mathieu, évêque de Troyes (1169-1180) ; N° 257 Sceau de René, duc d'Alençon (1478)

Spinal epidural abscess from group A Streptococcus after varicella infection: a case report and review of the literature.

INTRODUCTION: Spinal epidural abscess (SEA) is a very rare condition in pediatric patients. Varicella zoster infection could be a predisposing factor, and SEA should be suspected in patients with signs of secondary bacterial infection and even mild neurological signs. CLINICAL CASE: We describe here a case of a 30-month-old girl with a history of remitting varicella infection, diagnosed for a lumbar epidural abscess and sacro-ileitis, secondary to group A Streptococcus (GAS). DISCUSSION: This is the third case of SEA from GAS reported in the literature in a pediatric population with varicella infection. We discuss here the clinical presentation and the diagnostic challenges for SEA in childhood through a review of the literature.

Experience of meaning in life in bereaved informal caregivers of palliative care patients.

PURPOSE: Providing care for terminally ill family members places an enormous burden on informal caregivers. Meaning in life (MiL) may be a protective factor, but is jeopardised in caregiving and bereavement. This study evaluates the following questions: To what extent do bereaved informal caregivers of palliative care (PC) patients experience meaning in their lives? What differences emerge in carers compared to the general German population? How does MiL relate to well-being in former caregivers? METHODS: Eighty-four bereaved PC caregivers completed the Schedule for Meaning in Life Evaluation, the Brief Symptom Inventory, the WHOQOL-BREF, a single-item numerical rating scale of quality of life, and the Satisfaction with Life Scale. The experience of MiL of bereaved caregivers was compared to a representative population sample (n=977). RESULTS: The overall MiL fulfillment of bereaved caregivers (69 % female, age 55.5 ± 12.9 years) was significantly lower than in the general population (68.5 ± 19.2 vs. 83.3 ± 14, p<.001), as was the overall importance ascribed to their meaning framework (76.6 ± 13.6 vs. 85.6 ± 12.3, p< .001). PC caregivers are far more likely to list friends, leisure, nature/animals, and altruism. Higher MiL was correlated with better life satisfaction and quality of life. CONCLUSION: Coping with the loss of a loved one is associated with changes in MiL framework and considerably impairs a carer's experience of MiL fulfillment. Individual MiL is associated with well-being in PC caregivers during early bereavement. Specific interventions for carers targeted at meaning reconstruction during palliative care and bereavement are needed to help individuals regain a sense of meaning and purpose.

Combining bone resorption markers and heel quantitative ultrasound to discriminate between fracture cases and controls.

This nested case-control analysis of a Swiss ambulatory cohort of elderly women assessed the discriminatory power of urinary markers of bone resorption and heel quantitative ultrasound for non-vertebral fractures. The tests all discriminated between cases and controls, but combining the two strategies yielded no additional relevant information. INTRODUCTION: Data are limited regarding the combination of bone resorption markers and heel quantitative bone ultrasound (QUS) in the detection of women at risk for fracture. METHODS: In a nested case-control analysis, we studied 368 women (mean age 76.2 +/- 3.2 years), 195 with low-trauma non-vertebral fractures and 173 without, matched for age, BMI, medical center, and follow-up duration, from a prospective study designed to predict fractures. Urinary total pyridinolines (PYD) and deoxypyridinolines (DPD) were measured by high performance liquid chromatography. All women underwent bone evaluations using Achilles+ and Sahara heel QUS. RESULTS: Areas under the receiver operating-characteristic curve (AUC) for discriminative models of the fracture group, with 95% confidence intervals, were 0.62 (0.56-0.68) and 0.59 (0.53-0.65) for PYD and DPD, and 0.64 (0.58-0.69) and 0.65 (0.59-0.71) for Achilles+ and Sahara QUS, respectively. The combination of resorption markers and QUS added no significant discriminatory information to either measurement alone with an AUC of 0.66 (0.60-0.71) for Achilles+ with PYD and 0.68 (0.62-0.73) for Sahara with PYD. CONCLUSIONS: Urinary bone resorption markers and QUS are equally discriminatory between non-vertebral fracture patients and controls. However, the combination of bone resorption markers and QUS is not better than either test used alone.

Iridocyclectomy for neovascular glaucoma caused by proton-beam radiotherapy of pigmented ciliary adenocarcinoma.

PURPOSE: To report neovascular glaucoma after proton-beam radiotherapy of an adenocarcinoma of the pigmented ciliary epithelium and its successful treatment by iridocyclectomy. PATIENT AND METHODS: A 65-year-old man developed neovascular glaucoma 10 months after proton-beam radiotherapy of a small pigmented iridociliary tumour with a clinical differential diagnosis of uveal melanoma or adenocarcinoma. The diagnosis of 'toxic tumour syndrome' was made, and iridocyclectomy performed. RESULTS: Histopathology and immunohistochemistry of the specimen diagnosed an adenocarcinoma of the pigmented ciliary epithelium, with the presence of mitoses suggesting residual viable tumour cells. The rubeosis regressed, with normalization of the intraocular pressure. Phacoemulsification for radiation-induced cataract restored VA to 6/9, which was better than that recorded at initial referral, the patient having longstanding cellophane maculopathy. CONCLUSIONS: Neovascular glaucoma after radiotherapy of a small, pigmented, ciliary body tumour raises the possibility of adenocarcinoma. This 'toxic tumour syndrome' may respond to iridocyclectomy of the irradiated tumour.

The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies.

Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Initiative developed recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September 2004, with methodologists, researchers, and journal editors to draft a checklist of items. This list was subsequently revised during several meetings of the coordinating group and in e-mail discussions with the larger group of STROBE contributors, taking into account empirical evidence and methodological considerations. The workshop and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE Statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles. 18 items are common to all three study designs and four are specific for cohort, case-control, or cross-sectional studies. A detailed Explanation and Elaboration document is published separately and is freely available on the Web sites of PLoS Medicine, Annals of Internal Medicine, and Epidemiology. We hope that the STROBE Statement will contribute to improving the quality of reporting of observational studies.

Audit report on the Council Bluffs Airport Authority for the year ended June 30, 2014

Audit report on the Council Bluffs Airport Authority for the year ended June 30, 2014

Audit report on the Iowa/Jefferson/Keokuk Early Childhood Iowa Area for the year ended June 30, 2014

Audit report on the Iowa/Jefferson/Keokuk Early Childhood Iowa Area for the year ended June 30, 2014

Audit report on the Mid-Iowa School Improvement Consortium, Carlisle, Iowa for the year ended June 30, 2014

Audit report on the Mid-Iowa School Improvement Consortium, Carlisle, Iowa for the year ended June 30, 2014