Rééducation vasculaire du patient artériopathe [Vascular rehabilitation of patients suffering from peripheral arterial disease].

Rehabilitation programs represent an important and valuable tool for patients suffering various diseases. Supervised exercise programs for patients with peripheral arterial diseases have been shown to be efficacious in ameliorating walking performances and quality of life of such patients. With this regards the angiology service of the CHUV in Lausanne has established a multidisciplinary supervised program of vascular rehabilitation. This article describes organisation and characteristics of such a program.

CARACTERIZAÇÃO FÍSICA E QUANTIDADE DE NUTRIENTES EM FRUTOS DE MARACUJÁ DOCE

O presente trabalho foi conduzido com o objetivo de avaliar algumas características físicas e a distribuição dos nutrientes nos frutos de maracujá doce (Passiflora alata Dryand.), segundo sua classificação. Os frutos classificados como tipo 8 foram maiores e mais pesados que os dos tipos 9 e 12, apresentando maior peso de casca e de polpa. Independentemente da classificação dos frutos, o N, P, B, Cu, Fe e Zn estão distribuídos em maior quantidade na polpa do que na casca dos frutos. O K, Ca, S e o Mn estão distribuídos em maior quantidade na casca do que na polpa dos frutos. O magnésio apresenta uma distribuição na casca levemente superior à da polpa. Na média dos três tipos de frutos, os valores obtidos por fruto (casca+polpa) foram: 578,6 mg de N; 81,9 mg de P; 740,6 mg de K; 56,8 mg de Ca; 64,6 mg de Mg; 98,3 mg de S; 452,3 mg de B; 302,5 mg de Cu; 1471 mg de Fe; 167,5 mg de Mn, e 644,1 mg de Zn.

Traité de la prosodie françoise ([Reprod.]) / par M. l'abbé d'Olivet

Collection : Archives de la linguistique française ; 302

Lucía Moholy: la fotógrafa de la Bauhaus

Si bien Lucía Moholy realiza sus trabajos fotográficos más interesantes durante los años que permanece en la Bauhaus (1923-28) existe evidentemente un antes y un después de la Bauhaus en la vida de Lucía Moholy. El próposito de este articulo no se limita, pues, únicamente a valorar su colaboración en la Bauhaus, sino a enmarcar ésta dentro de toda una trayectoría profesional.

La génesis de la división territorial contemporánea en la España atlántica (Galicia, Asturias, Cantabria y El Bierzo)

Se estudian los antecedentes y gestación de la actual división provincial en la España atlántica, durante la transición del antiguo régimen al liberalismo (1800-1850). Las provincias se entienden como resultado de la convergencia de la voluntad racionalista y uniformadora del Estado con los intereses de auto-organización regional de la periferia.

Preventing invasive candida infections. Where could we do better?

Invasive candidiasis is associated with high mortality rates, ranging from 35% to 60%, in the range reported for septic shock. The epidemiology and pathogenesis of invasive candidiasis differ according to the patient's immune status; the majority of cases in immunocompromised hosts are candidaemia, whereas non-candidaemic systemic candidiasis accounts for the majority of cases in critically ill patients. In contrast to candidaemia, non-candidaemic systemic candidiasis is difficult to prove, especially in critically ill patients. Up to 80% of these patients are colonized, but only 5-30% develop invasive infection. The differentiation of colonization and proven infection is challenging, and evolution from the former to the latter requires seven to 10 days. This continuum from colonization of mucosal surfaces to local invasion and then invasive infection makes it difficult to identify those critically ill patients likely to benefit most from antifungal prophylaxis or early empirical antifungal treatment. Early empirical treatment of non-candidaemic systemic candidiasis currently relies on the positive predictive value of risk assessment strategies, such as the colonization index, candida score, and predictive rules based on combinations of risk factors such as candida colonization, broad-spectrum antibiotics, and abdominal surgery. Although guidelines recently scored these strategies as being supported by limited evidence, they are widely used at bedside and have substantially decreased the incidence of invasive candidiasis.

Estado nutricional de diferentes cultivares de pereira nas condições edafoclimáticas de Guarapuava-PR

A adubação de plantas frutíferas de clima temperado é rotineiramente recomendada em função da interpretação de laudos de análises químicas de solo e folhas, mas não são específicas para as diferentes cultivares e porta-enxertos. Neste contexto, um experimento foi conduzido durante dois anos, com o objetivo de avaliar o estado nutricional de diferentes cultivares de pereira enxertadas sobre o porta-enxerto marmeleiro 'CP', em Guarapuava-PR. As cultivares de pereira Cascatense, Tenra, Hosui, Packham's Triumph e Williams foram plantadas em 2004, em densidade de 2.500 plantas ha-1. Amostras de folhas e de frutos foram coletadas em 2006 e 2007 para análises químicas dos teores de nutrientes. Folhas completas e normais foram amostradas em meados de janeiro, retiradas da parte mediana das brotações do ano. Os frutos foram colhidos quando o teor de sólidos solúveis totais atingiram 10º Brix. As cultivares de pereira apresentaram diferenças em relação aos teores de nutrientes nas folhas e frutos, demonstrando exigências nutricionais distintas. A cv. Cascatense apresentou os maiores teores de N e P nos frutos em, pelo menos, um dos anos avaliados, e a cv. Hosui, os maiores valores para K. A extração de nutrientes pelos frutos situou-se entre 0,366 e 0,825 kg de N; 0,097 e 0,205 kg de P; 0,996 e 1,302 kg de K; 0,085 e 0,049 a 0,085 kg de Ca, e entre 0,041 e 0,095 kg de Mg por tonelada de frutos.

Vulnerability as a heuristic for interdisciplinary research: Assessing the thematic and methodological structure of empirical life-course studies

Changes in human lives are studied in psychology, sociology, and adjacent fields as outcomes of developmental processes, institutional regulations and policies, culturally and normatively structured life courses, or empirical accounts. However, such studies have used a wide range of complementary, but often divergent, concepts. This review has two aims. First, we report on the structure that has emerged from scientific life course research by focusing on abstracts from longitudinal and life course studies beginning with the year 2000. Second, we provide a sense of the disciplinary diversity of the field and assess the value of the concept of 'vulnerability' as a heuristic tool for studying human lives. Applying correspondence analysis to 10,632 scientific abstracts, we find a disciplinary divide between psychology and sociology, and observe indications of both similarities of-and differences between-studies, driven at least partly by the data and methods employed. We also find that vulnerability takes a central position in this scientific field, which leads us to suggest several reasons to see value in pursuing theory development for longitudinal and life course studies in this direction.

Pronounced species divergence in corticospinal tract reorganization and functional recovery after lateralized spinal cord injury favors primates.

Experimental and clinical studies suggest that primate species exhibit greater recovery after lateralized compared to symmetrical spinal cord injuries. Although this observation has major implications for designing clinical trials and translational therapies, advantages in recovery of nonhuman primates over other species have not been shown statistically to date, nor have the associated repair mechanisms been identified. We monitored recovery in more than 400 quadriplegic patients and found that functional gains increased with the laterality of spinal cord damage. Electrophysiological analyses suggested that corticospinal tract reorganization contributes to the greater recovery after lateralized compared with symmetrical injuries. To investigate underlying mechanisms, we modeled lateralized injuries in rats and monkeys using a lateral hemisection, and compared anatomical and functional outcomes with patients who suffered similar lesions. Standardized assessments revealed that monkeys and humans showed greater recovery of locomotion and hand function than did rats. Recovery correlated with the formation of corticospinal detour circuits below the injury, which were extensive in monkeys but nearly absent in rats. Our results uncover pronounced interspecies differences in the nature and extent of spinal cord repair mechanisms, likely resulting from fundamental differences in the anatomical and functional characteristics of the motor systems in primates versus rodents. Although rodents remain essential for advancing regenerative therapies, the unique response of the primate corticospinal tract after injury reemphasizes the importance of primate models for designing clinically relevant treatments.

The Plesiomonas shigelloides wbO1 gene cluster and the role of O1-antigen LPS in pathogenicity

The Plesiomonas shigelloides 302-73 strain (serotype O1) wb gene cluster encodes 15 proteins which are consistent with the chemical structure of the O1-antigen lypopolysaccharide (LPS) previously described for this strain. The P. shigelloides O1-antigen LPS export uses the Wzy-dependent pathway as correspond to heteropolysaccharides structures. By the isolation of two mutants lacking this O1-antigen LPS, we could establish that the presence of the O1-antigen LPS is crucial for to survive in serum mainly to become resistant to complement. Also, it is an important factor in the bacterial adhesion and invasion to some eukaryotic cells, and in the ability to form biofilms. This is the first report on the genetics from a P. shigelloides O-antigen LPS cluster (wb) not shared by Shigella like P. shigelloides O17, the only one reported until now.

High prevalence of PRPH2 in autosomal dominant retinitis pigmentosa in france and characterization of biochemical and clinical features.

PURPOSE: To assess the prevalence of PRPH2 in autosomal dominant retinitis pigmentosa (adRP), to report 6 novel mutations, to characterize the biochemical features of a recurrent novel mutation, and to study the clinical features of adRP patients. DESIGN: Retrospective clinical and molecular genetic study. METHODS: Clinical investigations included visual field testing, fundus examination, high-resolution spectral-domain optical coherence tomography (OCT), fundus autofluorescence imaging, and electroretinogram (ERG) recording. PRPH2 was screened by Sanger sequencing in a cohort of 310 French families with adRP. Peripherin-2 protein was produced in yeast and analyzed by Western blot. RESULTS: We identified 15 mutations, including 6 novel and 9 previously reported changes in 32 families, accounting for a prevalence of 10.3% in this adRP population. We showed that a new recurrent p.Leu254Gln mutation leads to protein aggregation, suggesting abnormal folding. The clinical severity of the disease in examined patients was moderate with 78% of the eyes having 1-0.5 of visual acuity and 52% of the eyes retaining more than 50% of the visual field. Some patients characteristically showed vitelliform deposits or macular involvement. In some families, pericentral RP or macular dystrophy were found in family members while widespread RP was present in other members of the same families. CONCLUSIONS: The mutations in PRPH2 account for 10.3% of adRP in the French population, which is higher than previously reported (0%-8%) This makes PRPH2 the second most frequent adRP gene after RHO in our series. PRPH2 mutations cause highly variable phenotypes and moderate forms of adRP, including mild cases, which could be underdiagnosed.