Suivi cardiologique d'un patient oncologique [Cardiologic follow up of an oncologic patient]

Recent progress in cancer therapy has dramatically modified the course and prognosis of some malignancies. Chemo and radiotherapy, along with newer targeted treatments, are given to control symptoms, postpone relapse, or attempt cure. However, many of these regimens are associated with adverse cardiovascular effects such as impaired left ventricular function, myocardial ischemia, hypertension, and arrhythmia. Awareness of potential cardiotoxicity is important, as it may allow practitioners to recognize early signs of cardiac complications and to adapt therapy in order to limit detrimental effects. Diagnosis of cardiovascular complications may iustify the introduction of cardiologic therapies, and may require the reassessment of risk/benefit ratios related to specific cancer therapy. Screening and follow up strategies are proposed.

Diagnostic de la maladie coronarienne stable par FFR non invasive, mythe ou réalité [Diagnosis of stable coronary artery disease with non-invasive FFR: myth or reality?].

Decision to revascularize a patient with stable coronary artery disease should be based on the detection of myocardial ischemia. If this decision can be straightforward with significant stenosis or in non-significant stenosis, the decision with intermediate stenosis is far more difficult and require invasive measures of functional impact of coronary stenosis on maximal blood (flow fractional flow reserve=FFR). A recent computer based method has been developed and is able to measure FFR with data acquired during a standard coronary CT-scan (FFRcT). Two recent clinical studies (DeFACTO and DISCOVER-FLOW) show that diagnostic performance of FFRcT was associated with improved diagnostic accuracy versus standard coronary CT-scan for the detection of myocardial ischemia although FFRcT need further development.

Variaciones mensuales y anuales de desembarque del Pejerrey (Odontesthes regia regia) en el Perú entre 1964 y 1986

El pejerrey es pescado desde el Puerto Pizarro hasta la frontera con Chile, los mayores desembarques se reportaron para la zona central del Perú y en los meses más fríos del año. Durante fenómenos El Niño los desembarques bajaron, especialmente en el de 1982-183.

Pension plan funding and stock market efficiency

The paper argues that the market signifficantly overvalues firms with severely underfunded pension plans. These companies earn lower stock returns than firms with healthier pension plans for at least five years after the first emergence of the underfunding. The low returns are not explained by risk, price momentum, earnings momentum, or accruals. Further, the evidence suggests that investors do not anticipate the impact of the pension liability on future earnings, and they are surprised when the negative implications of underfunding ultimately materialize. Finally, underfunded firms have poor operating performance, and they earn low returns, although they are value companies.

Short-term moderate hypocapnia augments detection of optimal cerebral perfusion pressure.

An autoregulation-oriented strategy has been proposed to guide neurocritical therapy toward the optimal cerebral perfusion pressure (CPPOPT). The influence of ventilation changes is, however, unclear. We sought to find out whether short-term moderate hypocapnia (HC) shifts the CPPOPT or affects its detection. Thirty patients with traumatic brain injury (TBI), who required sedation and mechanical ventilation, were studied during 20 min of normocapnia (5.1±0.4 kPa) and 30 min of moderate HC (4.4±3.0 kPa). Monitoring included bilateral transcranial Doppler of the middle cerebral arteries (MCA), invasive arterial blood pressure (ABP), and intracranial pressure (ICP). Mx -autoregulatory index provided a measure for the CPP responsiveness of MCA flow velocity. CPPOPT was assessed as the CPP at which autoregulation (Mx) was working with the maximal efficiency. During normocapnia, CPPOPT (left: 80.65±6.18; right: 79.11±5.84 mm Hg) was detectable in 12 of 30 patients. Moderate HC did not shift this CPPOPT but enabled its detection in another 17 patients (CPPOPT left: 83.94±14.82; right: 85.28±14.73 mm Hg). The detection of CPPOPT was achieved via significantly improved Mx-autoregulatory index and an increase of CPP mean. It appeared that short-term moderate HC augmented the detection of an optimum CPP, and may therefore usefully support CPP-guided therapy in patients with TBI.

Philemon and Baucis deaths: case reports and postmortem biochemistry contribution.

The death of a person as a reaction to the death of another is known as Philemon and Baucis death and may represent a difficult challenge for pathologists, especially due to the decompositional changes that often characterized these situations. In this article, we describe two cases of Philemon and Baucis deaths, the first concerning a married couple and the second concerning a father and son. Postmortem investigations including radiology and biochemistry were performed. Based on the results of all investigations, deaths were attributed to natural causes. Third-party involvement could be excluded in both situations. In one case, biochemical analysis results revealed potentially contributing causes of death. The reported cases emphasize the importance of correlating findings from different postmortem investigations to identify causes of death, precipitating conditions and predisposing disorders, thus allowing the conclusion of natural death to be reached and third-party involvement to be excluded.

Audit report on the Council Bluffs Airport Authority for the year ended June 30, 2011

Audit report on the Council Bluffs Airport Authority for the year ended June 30, 2011

[Illustrations de L'Iliade. Poème avec un discours sur Homère] / Fr. Roettiers, dess. ; N. Edelinck, grav. ; Homère, aut. du texte

Comprend : [Frontispice :] Choisis, tout n'est pas prétieux. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Vignette à la Page de Titre : marque d'éditeur de Grégoire Dupuis avec devise.] Modice et assidue. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Bandeau à la Dédicace : putti encadrant les armes de France.] [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Premier de l'Illiade : ] Chrisés offre la rançon de sa fille à Agamemnon. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Deux de l'Illiade :] Songe d'Agamemnon. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Trois de l'Illiade :] Traité de paix des Grecs et des Troyens. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Quatre de l'Illiade :] Conseil des Dieux. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Cinq de l'Illiade :] Adieu d'Hector et d'Andromaque. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Six de l'Illiade :] Les Ambassadeurs d'Agamennon pressent Achille de retourner au combat. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Sept de l'Illiade :] Junon demande la Ceinture de Vénus. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Huit de l'Illiade :] Hector et Patrocle se disputent le corps de Sarpedon. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Neuf de l'Illiade :] Thétis demande des armes à Vulcain pour Achille. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Dix de l'Illiade :] Combat d'Achille sur les bords du Xanthe. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Onze de l'Illiade :] Hector traisné par Achille. [Cote : Yb 1133-1134/Microfilm R 122391] ; [Pl. en reg. du Livre Douze de l'Illiade :] Priam demande à Achille le corps d'Hector. [Cote : Yb 1133-1134/Microfilm R 122391]

Audit report on Mid-Iowa School Improvement Consortium, Carlisle, Iowa for the year ended June 30, 2011

Audit report on Mid-Iowa School Improvement Consortium, Carlisle, Iowa for the year ended June 30, 2011

Report on a special investigation of the Amana Colonies Land Use District for the period May 21, 2007 through March 31, 2011

Report on a special investigation of the Amana Colonies Land Use District for the period May 21, 2007 through March 31, 2011