[Vaccinations of HIV-infected travelers]. / Vaccinations du voyageur infecté par le VIH.

Human immunodeficiency virus (HIV) positive international travelers are at higher risk of infectious complications. The pretravel assessment often provides an opportunity to update routine vaccinations and HIV patient specific vaccinations including pneumococcus, hepatitis A, hepatitis B, and influenza. Other vaccinations may be required or recommended. Decision for vaccination require considering the risk and severity of the vaccine, preventable diseases in the destination area, the nature of the vaccine (live attenuated vaccines or not), the patient's immune status, and the risk of virological rebound as a consequence of vaccination. The immunogenicity of vaccines is decreased in HIV patient with low CD4 cell counts (above 500 cells per cubic millimetres and particularly above 200 cells per cubic millimetres) and in patients with a persistent HIV RNA viral load. Vaccines should be administered to patients whose HIV infections are in the early stage or in patients receiving HAART with a satisfactory immune status and reduced HIV RNA level. Testing of postvaccination antibodies is useful if serological protective levels are defined. In case of non-response after vaccination, few studies suggest that additional revaccination, increase of vaccine dose, intradermic vaccination, or use of prime-boost combination may be successful. Further research is needed to define vaccination strategies, adapted to the immune status of the HIV patient.

[Left ventricular thrombus revealed by electron bean computed tomography, in a patient with antiphospholipid syndrome]. / Thrombus de la pointe du ventricule gauche révélé par le scanner à faisceau d'électrons, chez une patiente atteinte d'un syndrome des antiphospholipides.

The authors report a case of a 48 year old woman admitted to hospital because of digital ischemia, in a context of antiphospholipid syndrome. The electrocardiogram-triggered electron beam computed tomography revealed an apical thrombus associated with a thinning left ventricular wall, suggesting painless myocardial infarction. The diagnosis was secondary confirmed by coronarography.

[Aneurysm of the interatrial septum and right-to-left shunt during biventricular infarction. Diagnosis by transesophageal echocardiography]. / Anévrisme du septum interauriculaire et shunt droite-gauche au cours d'un infarctus biventriculaire. Diagnostic par échographie transoesophagienne.

A right-to-left shunt during infarction with right ventricular extension is a rare and recently described complication. It results from opening of a foramen ovale due to increased right heart pressures. The authors describe another case occurring in a patient with an interatrial septal aneurysm, the diagnosis of which was made by transoesophageal echocardiography.

Emotional descriptors of words as predictors of recall in a paired-associate task.

An extended replication of Contini and Whissell's 1992 experiment (N = 64 subjects) confirmed that there is a recall disadvantage for emotional words, especially active words, whether these serve as the cue or as the associate in a paired-associate task. A regression formula with trials, two gender variables, and seven emotional predictors (R2 = .77) was successful in predicting recall for 160 trials. Words or their CVC associates were better recalled if the words were emotionally neutral and least well recalled if the words were active or both unpleasant and passive.

Valence change and magnetic order in YbMn6Ge(6-x)Sn(x).

The YbMn(6)Ge(6-x)Sn(x) compounds (0 < x < 6) have been investigated using x-ray diffraction, magnetic measurements, neutron diffraction and (170)Yb Mössbauer spectroscopy. The YbMn(6)Ge(6-x)Sn(x) system comprises three solid solutions: (i) 0 < x ≤ 1.1, (ii) 3.2 ≤ x ≤ 4.6 and (iii) 5.3 ≤ x < 6, all of which crystallize in the hexagonal (P6/mmm) HfFe(6)Ge(6)-type structure. The substitution of Sn for Ge yields changes in the type of magnetic order (antiferromagnetic, helimagnetic, ferromagnetic, conical and ferrimagnetic), in the easy magnetization direction (from easy axis to easy plane) as well as in the valence state of Yb (from trivalent to divalent). The Mn moments order at or above room temperature, while magnetic ordering of the Yb sublattice is observed at temperatures up to 110 K. While Yb is trivalent for x ≤ 1.1 and divalent for x ≥ 5.3, both magnetic and (170)Yb Mössbauer spectroscopy data suggest that there is a gradual reduction in the average ytterbium valence through the intermediate solid solution (3.2 ≤ x ≤ 4.6), and that intermediate valence Yb orders magnetically, a very unusual phenomenon. Analysis of the (170)Yb Mössbauer spectroscopy data suggests that the departure from trivalency starts as early as x = 3.2 and the loss of ytterbium moment is estimated to occur at an average valence of ∼2.5+.

[Vascular rehabilitation in peripheral arterial disease: example of specialized center]. / Artériopathie oblitérante des membres inférieurs et rééducation vasculaire : exemple d'un centre de rééducation cardiovasculaire.

Supervised vascular rehabilitation exercises in specialized center are recommended by national guidelines and the benefits are demonstrated by many studies. It integrates global management of cardiovascular disease with risk factors modification, optimum medical treatment and extension assessment. We associate supervised vascular exercise program based on walk and specifics care, such as lymphatic drainage, reflex massage, electrotherapy and patient education.