Billy Budd: de H. Melville a E. M. Forster, o la via Plutarquea vers Plató

L'objectiu d'aquest article és proposar i fonamentar una via plutarquea -no només Les Vides Paral·leles, sinó també L'Eròtic- vers el contingut platònic de Billy Budd de B. Britten amb libretto d'E. M. Fosrter en col·laboració amb Eric Crozier. H. Melville no cita pas Plutarc en la seva novel·la, però l'excel·lent coneixement dels textos de l'escriptor i filòsof grec per part d'E. M. Foster fa que aquesta hipòtesi sigui altament versemblant.

Billy Budd: de H. Melville a E. M. Forster, o la via Plutarquea hacia Platón

El objetivo de este artículo es proponer y fundamentar una vía plutarquea -no sólo Las Vidas Parelelas, sino tambén El Eròtico- al contenido platónico de Billy Budd de B. Britten con libreto de E. M. Foster en colaboración con Eric Crozier. H. Melville no cita a Plutarco en su novela, pero el excelente conocimiento de los textos del escritor y filósofo griego por parte de E. M. Forster hace que esta hipótesis sea altamente verosímil.

Billy Budd: from H. Melville to E. M. Forster, or Plutarch's way to Plató

The aim of this article is to propose and lay the foundations of a Plutarch's way ¿not only his Lives but also his Eroticus- to the Platonic content of Billy Budd by B. Britten with a libretto by E. M. Forster in association with Eric Crozier. Plutarch is not quoted in H. Melville¿s novel, but E. M. Forster¿s good knowledge of the texts by the Greek writer and philosopher makes this hypothesis quite credible

Acute hepatitis A in a young returning traveler from Kenya despite immunization before departure.

Aluminum-adsorbed hepatitis A vaccines are known to be highly efficient. We present here the case of a patient who was immunized against hepatitis A before leaving for Kenya and who contracted an acute symptomatic hepatitis A during travel.

Des Eaux gazeuses alcalines de Soultzmatt... Histoire et topographie des bains... analyse des eaux, leur action physiologique... par M. le Dr Bach,... Suivi d'une nouvelle analyse des eaux... par M. Béchamp,... et de la Flore des environs de Soultzmatt, par M. Kirschleger,...

Comprend : Nouvelle Analyse des eaux de Soultzmatt

Plaidoyer pour une valorisation du jugement clinique dans la profession infirmière : les cas des plaies de pression et des chutes

Plusieurs infirmières pratiquant dans les centres d'hébergement se questionnent sur la pertinence d'utiliser systématiquement certaines échelles de mesure. Elles sont d'avis que l'utilisation ou les modalités entourant l'usage de ces échelles augmentent surtout leur charge de travail et ne contribuent pas toujours à l'amélioration de la qualité des soins. Face à cette préoccupation, la communauté de pratique de la Faculté des sciences infirmières de l'Université Laval sur les soins à l'aîné en centre d'hébergement (CP-FSI) a voulu explorer les fondements à la base des recommandations de ces différents instruments de mesure en l'occurrence l'échelle du risque de plaie de pression de Braden et les échelles d'évaluation des risques de chute. Un examen de la littérature scientifique et l'analyse de données empiriques amènent à la conclusion que l'utilisation systématique de ces échelles alourdit en effet la tâche des infirmières. Qui plus est, le jugement clinique infirmier est équivalent ou supérieur à l'utilisation de ces échelles. La CP-FSI conclut à l'importance de modifier les recommandations sur l'usage systématique de ces échelles et de plutôt valoriser le jugement clinique des infirmières.

Preliminary results of venlafaxine exposure in pregnancy, a multicenter prospective cohort ENTIS study

Introduction: Venlafaxine (Efexor®) is a serotonin and noradrenaline reuptake inhibitor (SNRI) used for the treatment of depression and anxiety disorders. The limited data on the use of venlafaxine in human pregnancy do not indicate an increased risk of congenital malformations. The main purpose of the study is to assess the rate of major malformations after first trimester exposure to venlafaxine. Methods: This multicenter, prospective cohort study was performed using data from nine centers who are member of the European Network of Teratology Information Services (ENTIS). Data on pregnancy and pregnancy outcome of women who used venlafaxine in pregnancy were collected during individual risk counseling. Standardized procedures for data collection and followup were used by each center. Results: Follow up data were collected on 744 pregnancies of womenwhoused venlafaxine during gestation. In 583 (78.4%) cases the exposure had occurred at least in the first trimester. In total, there were 600 live births (5 twins), 85 spontaneous abortions, 57 elective terminations of pregnancy, 5 fetal deaths, and 2 ectopic pregnancies. The overall rate of major malformations after first trimester exposure and excluding chromosomal and genetic disorders was 3.2% (16/500) in all pregnancies ending in delivery, pregnancy terminations or fetal deaths with fetal-pathological examination. Among live births the malformation rate was 2.7% (13/490). We observed no increased risk for organ specific malformations. Conclusions: The present study indicates that venlafaxine is not a major human teratogen.

Relationship of hyperactivity/inattention with adiposity and lifestyle characteristics in preschool children.

We performed a cross-sectional study in 450 nonreferred preschool children aged 4 to 6 years to assess the association between hyperactivity/inattention with adiposity and lifestyle characteristics. Measurements included scores of hyperactivity/inattention, adiposity, objectively measured physical activity, television viewing, and eating habits. Higher scores of hyperactivity/inattention were associated with lower percentage body fat, higher levels of physical activity, and less time spent in sedentary activity (all P ≤ .01). However, higher scores of hyperactivity/inattention were also associated with more television viewing and less healthy eating habits (all P ≤ .04). Except for some selected eating habits (P ≥ .07), those relationships remained significant after adjustment for age, sex, and sociodemographic confounders. To conclude, higher scores of hyperactivity/inattention are linked to different lifestyle characteristics that may in part contribute to a future development of overweight/obesity. Precise mechanisms explaining these associations and possible preventive approaches should be further investigated.