Lu pour vous: Prévention cardiovasculaire: efficacité des statines chez les plus de 70 ans

Résumé de: Glynn RJ et al. Rosuvastatin for primary prevention in older persons with elevated C-reactive protein and low to average low-density lipoprotein cholesterol levels: exploratory analysis of a randomized trial. Ann Intern Med. 2010 Apr 20;152(8):488-96, PMID: 20404379.

Predicting Non Return to Work after Orthopaedic Trauma: The Wallis Occupational Rehabilitation RisK (WORRK) Model.

BACKGROUND: Workers with persistent disabilities after orthopaedic trauma may need occupational rehabilitation. Despite various risk profiles for non-return-to-work (non-RTW), there is no available predictive model. Moreover, injured workers may have various origins (immigrant workers), which may either affect their return to work or their eligibility for research purposes. The aim of this study was to develop and validate a predictive model that estimates the likelihood of non-RTW after occupational rehabilitation using predictors which do not rely on the worker's background. METHODS: Prospective cohort study (3177 participants, native (51%) and immigrant workers (49%)) with two samples: a) Development sample with patients from 2004 to 2007 with Full and Reduced Models, b) External validation of the Reduced Model with patients from 2008 to March 2010. We collected patients' data and biopsychosocial complexity with an observer rated interview (INTERMED). Non-RTW was assessed two years after discharge from the rehabilitation. Discrimination was assessed by the area under the receiver operating curve (AUC) and calibration was evaluated with a calibration plot. The model was reduced with random forests. RESULTS: At 2 years, the non-RTW status was known for 2462 patients (77.5% of the total sample). The prevalence of non-RTW was 50%. The full model (36 items) and the reduced model (19 items) had acceptable discrimination performance (AUC 0.75, 95% CI 0.72 to 0.78 and 0.74, 95% CI 0.71 to 0.76, respectively) and good calibration. For the validation model, the discrimination performance was acceptable (AUC 0.73; 95% CI 0.70 to 0.77) and calibration was also adequate. CONCLUSIONS: Non-RTW may be predicted with a simple model constructed with variables independent of the patient's education and language fluency. This model is useful for all kinds of trauma in order to adjust for case mix and it is applicable to vulnerable populations like immigrant workers.

Smoking and life expectancy among HIV-infected individuals on antiretroviral therapy in Europe and North America.

BACKGROUND: Cardiovascular disease and non-AIDS malignancies have become major causes of death among HIV-infected individuals. The relative impact of lifestyle and HIV-related factors are debated. METHODS: We estimated associations of smoking with mortality more than 1 year after antiretroviral therapy (ART) initiation among HIV-infected individuals enrolled in European and North American cohorts. IDUs were excluded. Causes of death were assigned using standardized procedures. We used abridged life tables to estimate life expectancies. Life-years lost to HIV were estimated by comparison with the French background population. RESULTS: Among 17 995 HIV-infected individuals followed for 79 760 person-years, the proportion of smokers was 60%. The mortality rate ratio (MRR) comparing smokers with nonsmokers was 1.94 [95% confidence interval (95% CI) 1.56-2.41]. The MRRs comparing current and previous smokers with never smokers were 1.70 (95% CI 1.23-2.34) and 0.92 (95% CI 0.64-1.34), respectively. Smokers had substantially higher mortality from cardiovascular disease, non-AIDS malignancies than nonsmokers [MRR 6.28 (95% CI 2.19-18.0) and 2.67 (95% CI 1.60-4.46), respectively]. Among 35-year-old HIV-infected men, the loss of life-years associated with smoking and HIV was 7.9 (95% CI 7.1-8.7) and 5.9 (95% CI 4.9-6.9), respectively. The life expectancy of virally suppressed, never-smokers was 43.5 years (95% CI 41.7-45.3), compared with 44.4 years among 35-year-old men in the background population. Excess MRRs/1000 person-years associated with smoking increased from 0.6 (95% CI -1.3 to 2.6) at age 35 to 43.6 (95% CI 37.9-49.3) at age at least 65 years. CONCLUSION: Well treated HIV-infected individuals may lose more life years through smoking than through HIV. Excess mortality associated with smoking increases markedly with age. Therefore, increases in smoking-related mortality can be expected as the treated HIV-infected population ages. Interventions for smoking cessation should be prioritized.

Poliniza��ão natural e artificial da cherimóia (Annona cherimola Mill.) no Estado de São Paulo

Para estudar o método de poliniza��ão da cherimóia (Annona cherimola Mill.) que produza frutos em maior quantidade e melhor qualidade, instalou-se experimento em Pedra Bela - SP, a 1150 metros de altitude. As plantas eram de pé-franco, de 20 anos de idade. O experimento foi realizado em dois períodos, tendo o primeiro se iniciado em novembro de 1999 e finalizado em junho de 2000; o segundo iniciou-se em novembro de 2000 e encerrado em junho de 2001. A montagem do experimento foi efetuada no delineamento de blocos ao acaso, com 3 tratamentos e 12 repetições. Os tratamentos foram os seguintes: 1) poliniza��ão natural; 2) poliniza��ão manual cruzada; 3) autopoliniza��ão (flores ensacadas). As plantas dos blocos foram polinizadas em diferentes dias. Avaliaram-se o vingamento dos frutos 10 dias após a poliniza��ão e a quantidade dos frutos com conforma��ão perfeita ou defeituosa aos 40 dias. Após a colheita, os frutos foram pesados individualmente. Foram também amostrados dois frutos de cada bloco (em 1999) e três (em 2000), para as seguintes determina��ões: massa das sementes e da polpa, número de sementes por 100 gramas de polpa. A poliniza��ão artificial proporcionou maior vingamento de frutos (61,2% e 50,4%) em rela��ão à poliniza��ão natural (19,6% e 3,3%), nos anos de 1999 e 2000, respectivamente. Foi mais efetiva quando realizada sob condições de temperatura variando de 17 ºC até 22 ºC e umidade relativa do ar entre 70 e 80 %. Verificou-se também aumento da porcentagem de frutos perfeitos (em 2000), da massa do fruto e do índice de sementes/100 g de polpa dos frutos polinizados artificialmente em rela��ão aos polinizados naturalmente.

Ore genesis of Pb-Zn deposits in the Nappe zone of Northern Tunisia: Constraints from Pb-S-C-O isotopic systems

The Jalta and Jebel Ghozlane ore deposits are located in the extreme North of Tunisia, within the Nappe zone. The mineralization of Jalta, hosted in Triassic dolostones and the overlying Mio-Pliocene conglomerates, consists of abundant galena, barite, and cerussite with accessory sphalerite, pyrite, and jordanite. At Jebel Ghozlane, large Pb-Zn concentrations occur in the Triassic dolostones and Eocene limestones. The mineral association consists of galena, sphalerite, barite, and celestite and their oxidation products (cerussite, smithsonite, and anglesite). Lead isotope ratios in galena from both districts are relatively homogeneous ((206)Pb/(204)Pb = 18.702-18.823, (207)Pb/(204)Pb = 15.665-15.677, (208)Pb/(204)Pb = 38.725-38.875). The delta(34)S values for sulfates from both areas (+12.2 to +16.2 parts per thousand at Jalta and + 14.3 to + 19.4 parts per thousand at Jebel Ghozlane) are compatible with a derivation of sulfur from marine sulfates, possibly sourced from the Triassic evaporites. The delta(34)S values of the sulfides have a range between -10 and +12.5 parts per thousand at Jalta, and between -9.1 and +22.1 parts per thousand at Jebel Ghozlane. The large range of values suggests reduction of the sulfate by bacterial and/or thermochemical reduction of sulfate to sulfur. The high delta(34)S values of sulfides require closed-system reduction processes. The isotopically light carbon in late calcites (-6.3 to -2.5 parts per thousand) and authigenic dolomite (-17.6 parts per thousand) suggests an organic source of at least some of the carbon in these samples, whereas the similarity of the delta(18)O values between calcite (+24.8 parts per thousand) and the authigenic dolomite (+24.7 parts per thousand) of Jalta and their respective host rocks reflects oxygen isotope buffering of the mineralizing fluids by the host rock carbonates. The secondary calcite isotope compositions of Jalta are compatible with a hydrothermal fluid circulation at approximately 100 to 200 degrees C, but temperatures as low as 50 degrees C may be indicated by the late calcite of Jebel Ghozlane (delta(18)O of +35.9 parts per thousand). Given the geological events related to the Alpine orogeny in the Nappe zone (nappe emplacement, bimodal volcanism, and reactivation of major faults, such as Ghardimaou-Cap Serrat) and the Neogene age of the host rocks in several localities, a Late-Miocene age is proposed for the Pb-Zn ore deposits considered in this study. Remobilization of deep-seated primary deposits in the Paleozoic sequence is the most probable source for metals in both localities considered in this study and probably in the Nappe zone as a whole. (C) 2011 Elsevier B.V. All rights reserved.

"Gómez Álvarez, Cristina: Navegar con libros. El comercio de libros entre Espa��a y Nueva Espa��a. Una visión cultural de la Independencia (1750-1820) (2011)". Anuario de Estudios Americanos, v. 70, n. 1 (2013), p. 355-359.

Este libro se ocupa del análisis del tráfico de libros entre Europa y Nueva Espa��a durante los a��os 1750-1820. Se trata de la primera síntesis sobre estos asuntos con la que contamos para este interesante periodo del trasvase cultural entre Europa y México.

L'Ami du peuple, ou le Publiciste parisien : journal politique libre et impartial / par une société de patriotes, et rédigé par M. Marat, auteur de l'Offrande à la patrie, du Moniteur & du Plan de constitution, &c.

1790/01/19 (N102).

Dinámica de poblaciones de vectores y transmisión del virus Y de la patata en cultivos de pimiento

En 1990 se colocaron 7 trampas horizontales de baldosa verde del tipo utilizado por IRWIN (1980), situadas a la misma altura que el cultivo, en diferentes zonas productoras de pimiento en Espa��a: Aranjuez (Madrid), Balboa (Badajoz), Cadreita (Navarra), Mendavia (La Rioja), Torrepacheco (Murcia) y Monta��ana (Zaragoza). El muestreo abarc�� de 18 a 19 semanas en cada localidad. El total de pulgones recolectados durante el período que duró el muestreo fue de 3.186 que corresponden a 29 especies distintas, de los que 1.019 individuos corresponden a la especie Aphis fabae Scopoli (31,98 % del total) y 500 a Aphis gossypii Glover (15,69 %). Otras especies capturadas en menor proporción han sido: Aphis craccivora Koch, Aphis nasturtii Kaltenbach, Diuraphis noxia (Mordvilko) y Brachycaudus spp., entre otras. Se realizaron ensayos de transmisión en laboratorio con el virus Y de la patata (PVY) utilizando las especies más importantes desde el punto de vista del número de capturas realizadas. Se emplearon dos aislados de este virus: uno de ellos obtenido en campo infectando pimiento y que pertenece al patotipo 0 (infecta a «Yolo Wonder» pero no a «Yolo Y») y otro obtenido de patata y perteneciente al grupo N de PVY (patata). Los resultados indican que ambas cepas son transmisibles por Myzus persicae (Sulzer) a pimiento «Yolo Wonder», aunque PVYN se transmite con mucha menor eficiencia. En ensayos de comparación entre distintas especies de vectores en cuanto a la capacidad de transmisión de PVY*, se observa que M. persicae es el más eficaz, seguido de A. gossypii que es el segundo en importancia. Acyrthosiphon pisum Harris fue también capaz de transmitir PVY0, pero con mucha menor eficacia. A la vista de los resultados obtenidos, y a pesar de su gran eficacia de transmisión en condiciones controladas, M. persicae parece tener escasa importancia en cuanto a su capacidad de transmisión de PVY en campo, ya que presenta una baja actividad de vuelo en cultivo de pimiento en todas las localidades muestreadas.

L'Ami du peuple, ou le Publiciste parisien : journal politique libre et impartial / par une société de patriotes, et rédigé par M. Marat, auteur de l'Offrande à la patrie, du Moniteur & du Plan de constitution, &c.

1791/11/19 (N603).

L'Ami du peuple, ou le Publiciste parisien : journal politique libre et impartial / par une société de patriotes, et rédigé par M. Marat, auteur de l'Offrande à la patrie, du Moniteur & du Plan de constitution, &c.

1791/10/19 (N579).

L'Ami du peuple, ou le Publiciste parisien : journal politique libre et impartial / par une société de patriotes, et rédigé par M. Marat, auteur de l'Offrande à la patrie, du Moniteur & du Plan de constitution, &c.

1791/07/19 (N523).

L'Ami du peuple, ou le Publiciste parisien : journal politique libre et impartial / par une société de patriotes, et rédigé par M. Marat, auteur de l'Offrande à la patrie, du Moniteur & du Plan de constitution, &c.

1792/04/19 (N634).