Event-related potentials and changes of brain rhythm oscillations during working memory activation in patients with first-episode psychosis.

Background: Earlier contributions have documented significant changes in sensory, attention-related endogenous event-related potential (ERP) components and θ band oscillatory responses during working memory activation in patients with schizophrenia. In patients with first-episode psychosis, such studies are still scarce and mostly focused on auditory sensory processing. The present study aimed to explore whether subtle deficits of cortical activation are present in these patients before the decline of working memory performance. Methods: We assessed exogenous and endogenous ERPs and frontal θ event-related synchronization (ERS) in patients with first-episode psychosis and healthy controls who successfully performed an adapted 2-back working memory task, including 2 visual n-backworking memory tasks as well as oddball detection and passive fixation tasks. Results: We included 15 patients with first-episode psychosis and 18 controls in this study. Compared with controls, patients with first-episode psychosis displayed increased latencies of early visual ERPs and phasic θ ERS culmination peak in all conditions. However, they also showed a rapid recruitment of working memory-related neural generators, even in pure attention tasks, as indicated by the decreased N200 latency and increased amplitude of sustained θ ERS in detection compared with controls. Limitations: Owing to the limited sample size, no distinction was made between patients with first-episode psychosis with positive and negative symptoms. Although we controlled for the global load of neuroleptics, medication effect cannot be totally ruled out. Conclusion: The present findings support the concept of a blunted electroencephalographic response in patients with first-episode psychosis who recruit the maximum neural generators in simple attention conditions without being able to modulate their brain activation with increased complexity of working memory tasks.

EORTC 26083 phase I/II trial of dasatinib in combination with CCNU in patients with recurrent glioblastoma.

The treatment of patients with recurrent glioblastoma remains a major oncologic problem, with median survival after progression of 7-9 months. To determine the maximum tolerated dose and dose-limiting toxicity (DLT), the combination of dasatinib and cyclonexyl-chloroethyl-nitrosourea (CCNU) was investigated in this setting. The study was designed as multicenter, randomized phase II trial, preceded by a lead-in safety phase. The safety component reported here, which also investigated pharmacokinetics and preliminary clinical activity, required expansion and is therefore considered a phase I part to establish a recommended dosing regimen of the combination of CCNU (90-110 mg/m(2)) and dasatinib (100-200 mg daily). Overall, 28 patients were screened, and 26 patients were enrolled. Five dose levels were explored. DLTs, mainly myelosuppression, occurred in 10 patients. Grade 3 or 4 neutropenia was recorded in 7 patients (26.9%) and thrombocytopenia in 11 patients (42.3%). No significant effect of CCNU coadministration on dasatinib pharmacokinetics was found. Median progression-free survival (PFS) was 1.35 months (95% confidence interval: 1.2-1.4) and 6-month PFS was 7.7%. In this phase I study of recurrent glioblastoma patients, the combination of CCNU and dasatinib showed significant hematological toxicities and led to suboptimal exposure to both agents.

Ruling out coronary artery disease in primary care: development and validation of a simple prediction rule.

BACKGROUND: Chest pain can be caused by various conditions, with life-threatening cardiac disease being of greatest concern. Prediction scores to rule out coronary artery disease have been developed for use in emergency settings. We developed and validated a simple prediction rule for use in primary care. METHODS: We conducted a cross-sectional diagnostic study in 74 primary care practices in Germany. Primary care physicians recruited all consecutive patients who presented with chest pain (n = 1249) and recorded symptoms and findings for each patient (derivation cohort). An independent expert panel reviewed follow-up data obtained at six weeks and six months on symptoms, investigations, hospital admissions and medications to determine the presence or absence of coronary artery disease. Adjusted odds ratios of relevant variables were used to develop a prediction rule. We calculated measures of diagnostic accuracy for different cut-off values for the prediction scores using data derived from another prospective primary care study (validation cohort). RESULTS: The prediction rule contained five determinants (age/sex, known vascular disease, patient assumes pain is of cardiac origin, pain is worse during exercise, and pain is not reproducible by palpation), with the score ranging from 0 to 5 points. The area under the curve (receiver operating characteristic curve) was 0.87 (95% confidence interval [CI] 0.83-0.91) for the derivation cohort and 0.90 (95% CI 0.87-0.93) for the validation cohort. The best overall discrimination was with a cut-off value of 3 (positive result 3-5 points; negative result <or= 2 points), which had a sensitivity of 87.1% (95% CI 79.9%-94.2%) and a specificity of 80.8% (77.6%-83.9%). INTERPRETATION: The prediction rule for coronary artery disease in primary care proved to be robust in the validation cohort. It can help to rule out coronary artery disease in patients presenting with chest pain in primary care.

Pièces relatives à l'histoire de la ville de TULLE. I

Contient : Copies de bulles, lettres royaux, etc., concernant l'histoire de la ville de Tulle (1372-1547), extraites des archives et de la Bibliothèque du Roi, des archives de l'église de Tulle et d'originaux en la possession de Baluze ; Accord entre l'évêque et le chapitre de Tulle (1429), extrait du « Codex magnorum statutorum » ; Accords entre Louis d'Aubusson, évêque de Tulle, et Guichard de Comborn, abbé d'Uzerche (1456-1465) ; Hommage fait par Charles de Malemont à Clément de Brillac, évêque de Tulle (18 avril 1503) ; « Acta primi ingressus Hugonis de Albuconia, episcopi Tutellensis » (1451) ; « Acta primi ingressus Dionysii de Barro, episcopi Tutelensis » (1472) ; Serments prêtés par les évêques de Tulle de respecter les libertés de la ville (1495-1561) ; Description de l'église cathédrale de Tulle ; Copie figurée d'une inscription de l'église de Moissac, relative à la dédicace de cette église en 1063 (Cf. Gall. christ., t. I, col. 158) ; Pièces relatives à l'envoi du comte de Ventadour comme gouverneur du Limousin (1634) ; originaux ; Catalogus abbatum et episcoporum Tullensium, par Et. Baluze (placard imprimé ; Tulle, 1669) ; Procès-verbaux « touchant l'argent que la ville a prins des coffres du Roi » (31 octobre 1685) ; copies contemporaines ; Lettres royaux portant convocation de l'assemblée des trois ordres à Tulle pour l'envoi de députés aux Etats généraux (août 1614) ; placard imprimé ; Confirmation par Louis XIII du droit, pour les habitants de Tulle, de percevoir un octroi aux portes de la ville (16 mars 1611-22 novembre 1612) ; Défense faite aux curés de Saint-Pierre et de Saint-Jacques de Tulle de marier des étrangers sans autorisation du maire et des consuls (10 mars 1586) ; Extrait des registres de la Maison de ville de Tulle (1587-1588) ; « Estat de la recette que j'ay fait durant mon quartier, qui a commencé le 1er de septembre 1599 et finy le dernier de novembre audit an ; » original, sans indication de provenance ; Etat de sommes à percevoir dans les diverses parroisses de l'évêché de Tulle (1589) ; original ; Inventaire de titres concernant les vicomtes de Comborn (1441-1489) ; Accensement des revenus de la prévôté de Clergoux (21 janvier 1531-1532 n. st.) ; copie contemporaine ; Pièces relatives au différend entre le vicaire général et le chapitre de Tulle au sujet de l'ouverture du jubilé (avril 1656) ; Lettre du vicaire général, Guillaume Dumas, à M. Javel, sénéchal de Turenne (21 juillet 1655) ; Bulletins de service pour la garde des portes de la ville de Tulle (1586) ; originaux ; Lettre écrite de Tulle [à Baluze ?] par M. Collier (13 mars 1679) ; Mémoires sur la ville de Tulle, par M. Brivazat, vissenéchal de Tulle ; Procès-verbal d'une assemblée de conseillers de ladite ville (20 mars 1586) ; Lettre de G. de Juré aux consuls de la ville de Tulle (s. d.) ; original ; Requête présentée à « nossieurs des Comptes » par Bertrand Fagerdie (s. d.) ; original ; Mémoire sur la gestion du même au siège royal de Tulle (1551) ; Accord entre les habitants de Tulle et ceux de Brive pour le rétablissement du siège royal (1553) ; copie contemporaine ; Lettre d'Etienne de l'Estang à [Antoine] de Noailles, lieutenant du roi en Guyenne, relative à la même affaire (1551) ; copie donnée à Baluze par vyon d'Herouval en 1684 ; Accord entre B. Fagerdie et Antoine de La Tour, chanoine de Tulle (1561) ; original ; Enquête faite au sujet de l'anoblissement de Guillaume de Marne, lieutenant-général au siège de Tulle (1597) ; original ; Anoblissement de Pierre Geneste et de divers autres jurats de la ville de Bordeaux (juin 1589) ; Rôle de taille et taillon de la ville de Tulle (février 1595) ; original ; Factum pour le syndic du clergé du diocèse de Tulle contre les prétendus reformez d'Argentat ; imprimé de 4 p. in-4°, s. d., avec une note relative à la destruction du temple d'Argentat en 1682 ; Mandements et ordonnances des évêques et des vicaires généraux de Tulle (1668-1696) ; placards imprimés

Alcohol may not cause partner violence but it seems to make it worse: a cross national comparison of the relationship between alcohol and severity of partner violence.

This study assesses whether severity of physical partner aggression is associated with alcohol consumption at the time of the incident, and whether the relationship between drinking and aggression severity is the same for men and women and across different countries. National or large regional general population surveys were conducted in 13 countries as part of the GENACIS collaboration. Respondents described the most physically aggressive act done to them by a partner in the past 2 years, rated the severity of aggression on a scale of 1 to 10, and reported whether either partner had been drinking when the incident occurred. Severity ratings were significantly higher for incidents in which one or both partners had been drinking compared to incidents in which neither partner had been drinking. The relationship did not differ significantly for men and women or by country. We conclude that alcohol consumption may serve to potentiate violence when it occurs, and this pattern holds across a diverse set of cultures. Further research is needed that focuses explicitly on the nature of alcohol's contribution to intimate partner aggression. Prevention needs to address the possibility of enhanced dangers of intimate partner violence when the partners have been drinking and eliminate any systemic factors that permit alcohol to be used as an excuse. Clinical services for perpetrators and victims of partner violence need to address the role of drinking practices, including the dynamics and process of aggressive incidents that occur when one or both partners have been drinking.

Magnetic resonance imaging correlates of first-episode psychosis in young adult male patients: combined analysis of grey and white matter.

Background: Several patterns of grey and white matter changes have been separately described in young adults with first-episode psychosis. Concomitant investigation of grey and white matter densities in patients with first-episode psychosis without other psychiatric comorbidities that include all relevant imaging markers could provide clues to the neurodevelopmental hypothesis in schizophrenia. Methods: We recruited patients with first-episode psychosis diagnosed according to the DSM-IV-TR and matched controls. All participants underwent magnetic resonance imaging (MRI). Voxel-based morphometry (VBM) analysis and mean diffusivity voxel-based analysis (VBA) were used for grey matter data. Fractional anisotropy and axial, radial and mean diffusivity were analyzed using tract-based spatial statistics (TBSS) for white matter data. Results: We included 15 patients and 16 controls. The mean diffusivity VBA showed significantly greater mean diffusivity in the first-episode psychosis than in the control group in the lingual gyrus bilaterally, the occipital fusiform gyrus bilaterally, the right lateral occipital gyrus and the right inferior temporal gyrus. Moreover, the TBSS analysis revealed a lower fractional anisotropy in the first-episode psychosis than in the control group in the genu of the corpus callosum, minor forceps, corticospinal tract, right superior longitudinal fasciculus, left middle cerebellar peduncle, left inferior longitudinal fasciculus and the posterior part of the fronto-occipital fasciculus. This analysis also revealed greater radial diffusivity in the first-episode psychosis than in the control group in the right corticospinal tract, right superior longitudinal fasciculus and left middle cerebellar peduncle. Limitations: The modest sample size and the absence of women in our series could limit the impact of our results. Conclusion: Our results highlight the structural vulnerability of grey matter in posterior areas of the brain among young adult male patients with first-episode psychosis. Moreover, the concomitant greater radial diffusivity within several regions already revealed by the fractional anisotropy analysis supports the idea of a late myelination in patients with first-episode psychosis.

Diego Hurtado de Mendoza, autor de La segunda parte de Lazarillo de Tormes.

Antes de hablar de Diego Hurtado de Mendoza y de su continuación del Lazarillo, me gustaría recordar otras usurpaciones de personajes literarios...

Traicté de la grammaire francoise ; [suivi de Gallicae grāmatices libellus] ([Reprod.])

Collection : Archives de la linguistique française ; 144

Dictionnaire françois-latin : autrement dict les mots françois, avec les manières duser diceulx, tournez en latin... ([Reprod.]) / [R. Estienne]

[Dictionnaire français-latin (français moyen-latin). 1542 fac-sim.]