Provence and the British Imagination

Although it resonates today with lavender fields, sunny heritage locations and the gentrified memory of Paul Cézanne’s pictorial turbulence, Provence has not always been the attractive territory of pacified leisure and festival culture. Since the seventeenth century, indeed, the region has inscribed its shifting geography, complex politics and the extraordinary diversity of its land and seascapes in the perception and imagination of British visitors

Phenotype and outcomes of very early onset and early onset inflammatory bowel diseases in a Montreal pediatric cohort

ObjectivesThe incidence of very-early-onset inflammatory bowel disease (VEO-IBD) and early-onset IBD (EO-IBD) is increasing. Here, we report their phenotype and outcomes in a Montreal pediatric cohort.MethodsWe analyzed data from patients diagnosed with IBD between January 2014 and December 2018 from the CHU Sainte-Justine. The primary endpoint was to compare the phenotypes of VEO-IBD and EO-IBD. The secondary endpoints involved comparing outcomes and rates of steroid-free clinical remission (SFCR) at 12 (±2) months (m) post-diagnosis and at last follow-up.Results28 (14 males) and 67 (34 males) patients were diagnosed with VEO-IBD and EO-IBD, respectively. Crohn's disease (CD) was more prevalent in EO-IBD (64.2% vs. 39.3%), whereas unclassified colitis (IBD-U) was diagnosed in 28.6% of VEO-IBD vs. 10.4% of EO-IBD (p < 0.03). Ulcerative colitis (UC) and IBD-U predominantly presented as pancolitis in both groups (VEO-IBD: 76.5% vs. EO-IBD: 70.8%). Combining all disease subtypes, histological upper GI lesions were found in 57.2% of VEO-IBD vs. 83.6% of EO-IBD (p < 0.009). In each subtype, no differential histological signature (activity, eosinophils, apoptotic bodies, granulomas) was observed between both groups. At 12 m post-diagnosis, 60.8% of VEO-IBD and 62.7% of EO-IBD patients were in SFCR. At a median follow-up of 56 m, SFCR was observed in 85.7% of VEO-IBD vs. 85.0% of EO-IBD patients.ConclusionThe rate of patients in SFCR at 1-year post-diagnosis and at the end of follow-up did not significantly differ between both groups

Provence in the British Imagination

International audienc

Provence and the British Imagination

Although it resonates today with lavender fields, sunny heritage locations and the gentrified memory of Paul Cézanne’s pictorial turbulence, Provence has not always been the attractive territory of pacified leisure and festival culture. since the seventeenth century, indeed, the region has inscribed its shifting geography, complex politics and the extraordinary diversity of its land and seascapes in the perception and imagination of British visitors. in the steps of anonymous or excellent travellers, the chapters of this volume chart some of the most significant moments in the intercultural transactions between the proud linguistic and literary distinctiveness of the province on one hand and the always challenged and sometimes baffled perception of anglophone (and anglophile) visitors on the other. spanning across two centuries, from the largely unknown pre-revolutionary Provence visited by John locke and tobias smollett through the Victorian paradise of popular tourism and finally to the more secret ‘homeland’ of Modernists, this volume reveals an unexpected Provence which, in oblique and complex ways, has long hold a mirror to British culture and often acted as the laboratory of its artistic life

Double ischemic ileal stenosis secondary to mesenteric injury after blunt abdominal trauma

The authors describe a rare case in which blunt abdominal trauma resulted in mesenteric injury with delayed double ischemic ileal stenosis. Abdominal computed tomography demonstrated stenotic ileal loop with mural thickening. At surgery, a double stenotic bowel loop was found adjacent to a healed defect in the mesentery. Histological examination of the two resected segments showed fibrotic and ischemic lesions within the mesentery. Ischemic intestinal stenosis from mesenteric injury should be considered in the differential diagnosis in patients suffering from intestinal occlusion with a history of blunt abdominal trauma

Provence and the British Imagination

Although it resonates today with lavender fields, sunny heritage locations and the gentrified memory of Paul Cézanne’s pictorial turbulence, Provence has not always been the attractive territory of pacified leisure and festival culture. Since the seventeenth century, indeed, the region has inscribed its shifting geography, complex politics and the extraordinary diversity of its land and seascapes in the perception and imagination of British visitors. In the steps of anonymous or excellent travellers, the chapters of this volume chart some of the most significant moments in the intercultural transactions between the proud linguistic and literary distinctiveness of the province on one hand and the always challenged and sometimes baffled perception of Anglophone (and Anglophile) visitors on the other. Spanning across two centuries, from the largely unknown pre-revolutionary Provence visited by John locke and Tobias Smollett through the Victorian paradise of popular tourism and finally to the more secret ‘homeland’ of Modernists, this volume reveals an unexpected Provence which, in oblique and complex ways, has long held a mirror to British culture and often acted as the laboratory of its artistic life

Visiting One’s Native Country

The aim of this study was to evaluate to what extent travel-related factors may cause adherence failure to antiretroviral therapy (ART) in otherwise adherent migrants when traveling back to Africa. HIV-infected sub-Saharian migrants living in France with a plasma HIV viral load < 200 copies/mL, with no change in ART for ≥3 months and who were about to visit their native country for between 2 weeks and 6 months were enrolled for the study. Patients completed a self-administered adherence questionnaire both at enrollment and during the week following their return to France. Adherence failure occurred in 23 (11.5%) of 200 patients. Negative perception about ART effectiveness (adjusted odds ratio = 4.3; 95% confidence interval = 1.3-13.7), unexpected traumatic events during their stay in their native country (7.8; 2.3-26.1), and a prolongation of their stay (5.2; 1.4-20.4) were independently associated with a higher likelihood of adherence failure. Owning/renting one’s house in France (0.30; 0.10-0.96), singlehood (0.23; 0.05-1.00), and HIV status disclosure (0.19; 0.05-0.76) were correlates of sustained adherence during traveling

Platelets release mitochondrial antigens in systemic lupus erythematosus

The accumulation of DNA and nuclear components in blood and their recognition by autoantibodies play a central role in the pathophysiology of systemic lupus erythematosus (SLE). Despite the efforts, the sources of circulating autoantigens in SLE are still unclear. Here, we show that in SLE, platelets release mitochondrial DNA, the majority of which is associated with the extracellular mitochondrial organelle. Mitochondrial release in patients with SLE correlates with platelet degranulation. This process requires the stimulation of platelet Fc gamma RIIA, a receptor for immune complexes. Because mice lack Fc gamma RIIA and murine platelets are completely devoid of receptor capable of binding IgG-containing immune complexes, we used transgenic mice expressing Fc gamma RIIA for our in vivo investigations. Fc gamma RIIA expression in lupus-prone mice led to the recruitment of platelets in kidneys and to the release of mitochondria in vivo. Using a reporter mouse with red fluorescent protein targeted to the mitochondrion, we confirmed platelets as a source of extracellular mitochondria driven by Fc gamma RIIA and its cosignaling by the fibrinogen receptor alpha 2b beta 3 in vivo. These findings suggest that platelets might be a key source of mitochondrial antigens in SLE and might be a therapeutic target for treating SLE

Travel Med Infect Dis

BACKGROUND: Literature on health events in HIV-infected travellers is scarce, particularly in sub-Saharan African (SSA) migrants. METHODS: We investigated health events in HIV-infected SSA migrants living in France during and after travel to their native country. All had a pre-travel plasma viral load (pVL) below 200 copies/mL and were on stable combined antiretroviral therapy (cART). Logistic regression models were used to assess the risk factors for at least one adverse health event or febrile event. RESULTS: Among 264 HIV migrants, pre-travel median CD4 count was 439/mm3 and 27 migrants (6%) experienced a low-level viremia between 50 and 200 copies/mL. One hundred (38%) experienced at least one event (13 experienced two events). The most common events were gastrointestinal, including diarrhoea (n=29, 26%), respiratory events (n=20, 18%), and malaria (n=17, 15%; 1 death). In multivariable analysis, a pre-travel low-level viremia and a lack of pre-travel medical advice significantly increased the risk for any event (OR 4.31, 95% CI, 1.41-13.1; and OR 3.62, 95% CI, 1.38-9.47; respectively). A lack of pre-travel advice significantly increased the risk for febrile event. CONCLUSIONS: Early and tailored counselling on pre-travel medical advice regarding diarrhoea and vector-borne diseases prophylactic measures in HIV-infected SSA migrants should be emphasised before travel to Africa