Cuatro altares de La Vera, Cáceres

This paper describes four Roman altars recently found in La Vera, which is the name given to the country lying between Tiétar river and Sierra de Gredos, in the Spanish province of Cáceres. Of the nine inscriptions, three epigraphs are dedications to local deities: <i>Band(-) Vortiacius,</i> a new divine couple, <i>Ulisus and Ulisona;</i> and <i>Quangeius,</i> this one being placed <i>in fano,</i> which is the second occurrence of that word in Spanish epigraphy. The last piece is a tombstone so dilapidated that it is difficult to tell apart even the normal features of an ancient epitaph.<br><br>Se describen cuatro altares inscritos recientemente descubiertos en La Vera, comarca cacereña situada en la orilla septentrional del río Tiétar. De las nuevas inscripciones, tres son altares dedicados a lo que se han llamado “dioses indígenas”: <i>Band(-) Vortiacius,</i> lo que parece una nueva paredría (<i>Ulisus y Ulisona</i>) y <i>Quangeius;</i> nótese que este se colocó <i>in fano,</i> la segunda mención epigráfica del término aparecida hasta ahora en la Península. La última pieza es un epitafio, pero tan estropeado por la erosión, que apenas se reconocen los elementos característicos de esta clase de epígrafes

Evaluation et intérêts de la mesure du débit cardiaque par ré-inspiration de gaz inertes en réadaptation cardiaque (à propos de 143 cas)

DIJON-BU Médecine Pharmacie (212312103) / SudocSudocFranceF

Determining the minimal clinically important difference for the six-minute walk test and the 200-meter fast-walk test during cardiac rehabilitation program in coronary artery disease patients after acute coronary syndrome.

International audienceOBJECTIVE: To estimate the minimal clinically important difference (MCID) for the 6-minute walk test (6MWT) and the 200-m fast-walk test (FWT) in patients with coronary artery disease (CAD) during a cardiac rehabilitation program. DESIGN: Prospective study using distribution- and anchor-based methods. SETTING: Outpatients from a cardiac rehabilitation unit. PARTICIPANTS: Stable patients with CAD (N=81; 77 men; mean±SD age, 58.1±8.7y) enrolled 31±12.1 days after an acute coronary syndrome (ACS). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: 6MWT and 200-m FWT results before and after an 8-week cardiac rehabilitation program and at the 6th and 12th sessions. Patients and physiotherapists who supervised the training were asked to provide a global rating of perceived change in walking ability while blinded to changes in walk test performances. RESULTS: Mean change in 6MWT distance (6MWD) in patients who reported no change was -6.5m versus 23.3m in those who believed their performance had improved (P<.001). This result was consistent with the MCID determined by using the distribution method (23m). Considering a 25-m cutoff, positive and negative predictive values were 0.9 and .63, respectively. Conversely, there was no difference in 200-m FWT performance between these 2 groups (0.1 vs -1.4s, respectively). There was poor agreement with the physiotherapist's perceived change. CONCLUSIONS: The MCID for 6MWD in patients with CAD after ACS was 25m. This result will help physicians interpret 6MWD change and help researchers estimate sample sizes in further studies using 6MWD as an endpoint

Selecting a test for the clinical assessment of balance and walking capacity at the definitive fitting state after unilateral amputation: a comparative study.

International audienceBACKGROUND: There is a lack of data and consensus concerning the most appropriate functional evaluation in clinical practice at the definitive prosthetic phase after lower limb amputation. OBJECTIVES: To determine among several selected functional tests the most pertinent to evaluate balance and prosthetic walking. STUDY DESIGN: Validation of a diagnostic procedure. METHODS: Sixty-four patients were included. Outcome measures: Timed Up and Go test, Functional Reach test (FRT), one-leg balance, tandem test, Modified Houghton Scale, Berg Balance Scale, two-minute walk test (2MW test). Correlations were assessed with the Pearson correlation coefficient and the Principal Component Analysis. Score distribution was analyzed with the Shapiro-Wilk W normality test. Receiver operating characteristic curves were drawn to identify the best predictor for the function. RESULTS: The clinical tests correlated highly with each other. Only 2MW test and FRT did not have either a floor/ceiling effect, or a bi-modal distribution. The 2MW test was the best predictor of prosthetic walking limitations (area under the curve 0.93 (0.83-0.97), the best threshold was between 130 and 150 meters), and FRT was best for balance. CONCLUSIONS: 2MW test can be proposed as the first-line clinical test. The FRT can be indicated for the specific assessment of balance disorders. Clinical relevance This validation of a clinical evaluation of balance and walking capacity after lower limb amputation may be useful in everyday practice to ensure in a simple and standardized way the follow-up of patients and adapt treatments--especially prosthetics--at the definitive prosthetic phase

268 Impact of age on clinical periodontal parameters in patients with acute myocardial infarction

AimTo evaluate the periodontal status in patients with acute myocardial infarction (AMI) and to determine whether there was a specific profile according to age.MethodsA total of 197 consecutive patients with AMI were included and the oral examination included the number of teeth, endodontically treated teeth, periodontal screening index (PSI), clinical attachment level, and radiographic apical lesions (radiography examination). Patients were classified according to tertiles of age.ResultsThe table below summarizes the specific profile according to age. The study demonstrated that patients with AMI exhibited an unfavourable dental state of health. No relationship was found between C-reactive protein levels and periodontitis.ConclusionThis work demonstrates specific profiles of dental status according to age. In younger patients, the dental status was poor, and although no relationship with CRP was shown, further studies are needed to include a more specific assessment of coronary lesions and their evolution in this context of poor dental health.(Voir tableau ci-dessous)Tertile 1Tertile 2Tertile 3pN666665Mean age, y47.7 ± 0.459.5 ± 0.372.5 ± 0.4<0.001Men83%89%75%0.104CRP > 3mg/L,52%41%54%0.205Current smoker72%63%47%0.017Periodontal statusPresence of caries50%28%45%0.037Presence of Inflammation64%71%67%0.731Teeth lost8 ± 810 ± 815 ± 80.019Alteration of chewing24%34%67%<0.001Bone Loss55%71%86%0.00