L'appropriation des espaces communautaires dans l'est des Pyrénées médiévales et modernes : enquête sur les cortals

National audienceLa Cerdagne, pensait-on, n'avait pas connu les « cortals ». Une enquête approfondie a permis d'en retrouver la trace au Moyen Âge comme à l'époque moderne. Il s'agissait pour l'essentiel de structures d'habitat implantées sur les versants intermédiaires, dans un but agricole aussi bien que pastoral. Cette étude s'intéresse particulièrement au cortal comme support de la conversion des terres communes en terres privées

A pilot study on the use of the super dimension navigation system for optimal cryobiopsy location in interstitial lung disease diagnostics.

BACKGROUND: Transbronchial cryobiopsies has become increasingly important in the diagnostic workup for interstitial lung diseases. The rate of complications and mortality are low compared to surgical lung biopsies, but the diagnostic yield is not as high. The reason for the lower diagnostic yield could in some cases be explained by biopsies taken too centrally or in less affected areas. In this pilot study we examined the feasibility of using the electromagnetic navigation system, superDimension (SD), when performing cryobiopsies to increase the diagnostic yield.METHODS: Electromagnetic navigation bronchoscopy and cryobiopsies were performed using SD. An electromagnetic board placed on the back of the patient and a position sensor at the tip of the navigational probe created a real-time 3D reconstruction of previously acquired computer tomography images. The procedure was performed with the patients in general anesthesia using a rigid bronchoscope when performed in Florence and with a flexible bronchoscope through an orotracheal tube when performed in Aarhus.RESULTS: In total, 18 patients were included. Five patients were excluded, partly due to technical difficulties. Disposable 1.7 mm cryoprobes were used in Aarhus, and reusable 1.9 mm probes in Florence. Pneumothorax was detected in three (23%), mild hemorrhage was seen in one (8%) and moderate hemorrhage in six (46%). The biopsies contributed to the diagnosis in 11 of the patients (85%).CONCLUSION: Using superDimension electromagnetic navigation system when performing cryobiopsies is feasible. A larger prospective trial is necessary to homogenize the technique between centres and to evaluate diagnostic advantage and complications

The IASLC Lung Cancer Staging Project: A Renewed Call to Participation

Over the past two decades, the International Association for the Study of Lung Cancer (IASLC) Staging Project has been a steady source of evidence-based recommendations for the TNM classification for lung cancer published by the Union for International Cancer Control and the American Joint Committee on Cancer. The Staging and Prognostic Factors Committee of the IASLC is now issuing a call for participation in the next phase of the project, which is designed to inform the ninth edition of the TNM classification for lung cancer. Following the case recruitment model for the eighth edition database, volunteer site participants are asked to submit data on patients whose lung cancer was diagnosed between January 1, 2011, and December 31, 2019, to the project by means of a secure, electronic data capture system provided by Cancer Research And Biostatistics in Seattle, Washington. Alternatively, participants may transfer existing data sets. The continued success of the IASLC Staging Project in achieving its objectives will depend on the extent of international participation, the degree to which cases are entered directly into the electronic data capture system, and how closely externally submitted cases conform to the data elements for the project

Les territoires de l'herbe en Cerdagne du XIIIe au XIXe siècle: D'une communauté d'usage à une fracture spatiale

International audienc

L'appropriation des espaces communautaires dans l'Est des Pyrénées médiévales et modernes: enquête sur les cortals

National audienc

Margins and centres in the construction of the Pyrenean slopes: medieval dynamics within the long term perspective

International audienc

Margins and centres in the construction of the Pyrenean slopes: medieval dynamics within the long term perspective

International audienc

Exogenous lipoid pneumonia due to silent aspiration following surgery and radiotherapy for cancer of the tongue

A man with a history of cancer of the base of the tongue presenting with hemoptysis, recurrent pneumonia and crazy-paving patterns on CT was ultimately diagnosed with lipoid pneumonia, subsequently found to be associated with use of fish oil capsules and possible Parkinson's disease. Pulmonary alveolar proteinosis and invasive mucinous adenocarcinoma as differential diagnoses were considered and dismissed. Risk of aspiration and lipoid pneumonia should be considered in patients with similar radiological findings and history

Essai de modélisation spatiale d'une source notariale.: Les contrats de parcerias et leurs dynamiques. (Cerdagne, Pyrénées de l'Est, XIIIe-XVIIIe siècle)

L'article constitue la version remaniée d'un poster présenté à l'occasion de la rencontre de doctorants de novembre 2006 à LyonNational audienceCet article est une tentative d'analyse spatiale d'une source notariale et de modélisation de ses dynamiques spatiales. Iol vise à éclairer l'élaboration et l'évolution de complémentarités spatiales à l'échelle de la Cerdagne, entre la ville et les villages d'une part et entre le plateau et les piémonts d'autre part. Le corpus est constitué d'environ 400 actes de contrats de parceriais - des baux à cheptel - recueillis lors de chantiers-histoire -des stages de paléographie pour étudiants- organisés aux archives de Puigcerdà (Catalogne, Espagne)

Continous Rituximab treatment for recurrent diffuse alveolar hemorrhage in a patient with systemic lupus erythematosus and antiphosholipid syndrome

Diffuse alveolar hemorrhage (DAH) is a rare but potentially fatal complication in systemic lupus erythematosus (SLE). DAH is typically characterized by hemoptysis, dyspnea, new infiltrates on chest x-rays or CT-scans and a drop in hemoglobin. DAH is seen in less than 2% of patients with SLE and carries a high acute mortality risk of up to 70–90%. The current treatment of DAH is high-dose intravenous corticosteroids, cyclophosphamide and extensive supportive care. Plasmapheresis is also often considered in the treatment. A few case reports have described patients with SLE and DAH in whom a single series of Rituximab (RTX), a specific anti-CD20-antigen B-cell antibody, successfully has been used to treat DAH. We here present the first case of a patient with combined SLE, antiphospholipid syndrome (APS) and recurrent DAH who was successfully controlled by continued treatment with RTX