[Poème adressé à Méhul au moment de son départ pour Montpellier]

Il ne s'agit pas de la lettre autographe, mais d'une copie du poème de Vieillard adressé à Mehul la veille de son départ pour Montpellier où il se rend pour se faire soigner. Le poème a été composé à l'imitation du "Sic te diva potens Cypri" d'Horace. Méhul a répondu à Vieillard dans une lettre du 20 janvier 1817 reproduite in Pierre-Ange Vieillard, "Mehul : sa vie et ses oeuvres", Paris, 1859, p. 47.

Association entre consommation d'alcool et facteurs de risque cardiovasculaire: une étude sur la population lausannoise. [Association between alcohol consumption and cardiovascular risk factors: a narrative review]

Alors que la consommation modérée d'alcool est liée à un risque plus faible de développer une maladie coronarienne, l'impact d'une consommation plus importante d'alcool sur les facteurs de risque cardiovasculaire (FRCV) et la maladie coronarienne est moins clair. Nous avons étudié l'association entre la consommation d'alcool, les FRCV et l'estimation du risque à dix ans de faire un événement cardiovasculaire dans l'étude populationnelle lausannoise CoLaus. Dans cette étude, 73% des participants consomment de l'alcool, 16% consomment de 14 à 34 unités d'alcool par semaine et 2% consomment 35 unités ou plus par semaine. Cet article montre notamment l'impact d'une consommation importante d'alcool sur les FRCVet passe en revue les liens entre la consommation d'alcool, le type de boissons et les FRCV. [Abstract] Moderate alcohol consumption has been associated with lower coronary heart disease (CHD) risk. However, the impact of higher alcohol consumption on cardiovascular risk factors (CVRFs) is conflicting. We examined the association between alcohol consumption, CVRFs and the estimated 10-year CHD risk in the population-based CoLaus study in Lausanne, Switzerland. Among 5'769 participants without cardiovascular disease, 73% of the participants were alcohol drinkers; 16% consumed 14-34 drinks/week and 2% consumed >= 35 drinks/week. This article shows the impact of high alcohol consumption on CVRFs and reviews the literature on the associations between alcohol consumption and CVRFs.

Officium beatae Virginis Mariae.

F. 1 « Officium b. V. M... ordinatum per... Karolum Iherusalem et Siciliae regem... O felix Virgo virginum... »

Statuta synodalia Burdegalensia.

F. 1 et 11v Constitutiones synodales Gerardi de Malemort et Petri de Roncevaux, archiep. Burdigalensium. F. 16, 21 et 23 Conciles de Compiègne, 1238 (Mansi, XXIII, 485-496), Ruffec, 1258 (ibid., 983-988) et Cognac, 1262 (ibid., 1105-1110). F. 23v NICOLAS III, Bulle du 13 déc. 1279 ; cf. Potthast, Regesta, n° 21665. F. 24v Concile de Bourges, 1276 (Mansi, XXIV, 165-180). F. 32v Constitutiones Arnaldi de Chanteloup, archiep. Burdegalensis, 1326 et 1329. F. 34 Concile d'Angoulême, 1343, et constitutions synodales de Pierre de Luce, archev. de Bordeaux, 1343-1345. F. 36v Constitutions de 1356. F. 37v Constitutio Petri la Colre, vicarii gen. Burdegalensis. F. 40 Constitutiones Amanei de la Mothe, archiep. Burdegalensis, 1358. F. 56 Constitutiones. Gerardi de Malemort. F. 57 et 58 Constitutiones « domini Petri » et « domini A. ». F. 62 Concile de Périgueux, 1365.

Neck complaints in the pediatric emergency department: a consecutive case series of 170 children.

OBJECTIVES: To describe the spectrum of pathologies responsible for neck ailments in a primary care pediatric emergency setting and evaluate their outcome. METHODS: All children aged 16 years or younger, who presented to the emergency department of the Children's Hospital of Lausanne during a 1-year period, were retrospectively identified and charts were reviewed. Causes of neck complaints were classified as traumatic (group 1), infectious (group 2), postural (group 3), or miscellaneous (group 4) according to the final diagnosis. History and physical examination findings, radiological and laboratory results, as well as patient outcomes were recorded. RESULTS: During the study period, 28,722 children were observed in the emergency department, and 170 were identified as having neck complaints. The number of patients with neck ailments in group 1 was 105 (62%). Group 2 contained 33 patients (19%), of which 28 (16.5%) had a viral infection and 5 (2.9%) had a bacterial infection. Group 3 contained 30 children (17.6%) and group 4 contained 2 children (1.2%). Cervical spine radiography was performed on an emergency basis in 60 children (57 in group 1, 2 in group 2, and 1 in group 3). Significant abnormalities were observed in 6 children. Cervical computed tomography (CT) was performed in 9 children, from which 5 were in group 1, 3 were in group 2, and 1 was in group 4. The CT scan revealed pathologic findings in 6 children. Follow-up data were available in 135 patients (79.4%), of which 129 (95.6%) experienced complete recovery in less than 2 weeks. Admission to the hospital was necessary in 4 children (1 in group 1 and 3 in group 2), including 2 for emergency surgical drainage of retropharyngeal abscesses. One child with posttraumatic torticollis was treated conservatively as an outpatient and recovered in 7 weeks. One child was had his/her condition eventually diagnosed with osteoid osteoma and treated with oral nonsteroidal anti-inflammatory drug. CONCLUSIONS: Most cases of neck ailments in children presenting to the emergency department were due to trauma or infection, which were effectively managed as outpatients. When signs and symptoms suggested an emergent cause, CT provided a definitive diagnosis. The evaluation of a child presenting with acute neck complaints should be based on history and physical examination. Plain radiographs and CT scan are contributive in selected cases.

Fructose and metabolic diseases: new findings, new questions.

There has been much concern regarding the role of dietary fructose in the development of metabolic diseases. This concern arises from the continuous increase in fructose (and total added caloric sweeteners consumption) in recent decades, and from the increased use of high-fructose corn syrup (HFCS) as a sweetener. A large body of evidence shows that a high-fructose diet leads to the development of obesity, diabetes, and dyslipidemia in rodents. In humans, fructose has long been known to increase plasma triglyceride concentrations. In addition, when ingested in large amounts as part of a hypercaloric diet, it can cause hepatic insulin resistance, increased total and visceral fat mass, and accumulation of ectopic fat in the liver and skeletal muscle. These early effects may be instrumental in causing, in the long run, the development of the metabolic syndrome. There is however only limited evidence that fructose per se, when consumed in moderate amounts, has deleterious effects. Several effects of a high-fructose diet in humans can be observed with high-fat or high-glucose diets as well, suggesting that an excess caloric intake may be the main factor involved in the development of the metabolic syndrome. The major source of fructose in our diet is with sweetened beverages (and with other products in which caloric sweeteners have been added). The progressive replacement of sucrose by HFCS is however unlikely to be directly involved in the epidemy of metabolic disease, because HFCS appears to have basically the same metabolic effects as sucrose. Consumption of sweetened beverages is however clearly associated with excess calorie intake, and an increased risk of diabetes and cardiovascular diseases through an increase in body weight. This has led to the recommendation to limit the daily intake of sugar calories.