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The coastal area of Jableh, in the vicinity of the Saladin and Al-Marquab castles, is a fertile alluvial plain located on the northwestern part of Syria, in what was once the crusader Principality of Antioch. In order to detail the coastal environment during the crusader period in the Middle East, palynological analyses have been conducted on the underlying coastal-alluvial deposits. The recovered sediments represent a continuous record of the environmental history of the area spanning a c. AD 850—1850 cal. yr period, from the Muslim Era up to and including the late Ottoman times. During the local crusader period (AD 1100—1270), the area was dominated by an arborescent mattoral mixed with a xerophytic shrub-steppe. The alluvial plain was slightly waterlogged and colonized by a wetland meadow with an open vegetation of steppe-like character on bare surfaces and fresh arable soils. The riparian and open deciduous riverine forests were weakly developed. Signs of agricultural activities are mainly recorded for the High Medieval period (AD 1000—1300), with an increase of vineyards in the coastal area. Since c. AD 1250 cal. yr until the end of the crusader period, agricultural activities never reached the same intensity as during the Mameluke Sultanate and the Ottoman Empire. [ABSTRACT FROM AUTHOR]

Aim: To study the immediate tolerance of high-dose intravenous pulse steroids. PATIENTS ET METHOD: Prospective study over a six months period in 146 consecutive patients treated by three pulses of 250, 500 or 1000 mg/d methylprednisolone for various eye diseases. Daily monitoring including: standardized questionnaire, electrocardiogram, automated blood pressure measurements, fasting blood glucose and kaliemia., Results: One hundred and twenty-nine patients (88,4%) had one ore more side effect(s), mainly transient and of mild intensity, the first one being neuropsychological disturbances (insomnia in half the patients). Myocardial ischemia was observed in three patients (2,1%) with known coronary insufficiency or high cardiovascular risk, blood pressure levels of at least 180/110 mmHg were recorded in five hypertensive patients (3,4%), bradycardia occurred in 14 patients (9,7%), symptomatic in one. After the first pulse, we observed a mean 54+/-30% increase of fasting glucose (P <0,001), followed during the next pulses by a spontaneous slow return toward baseline values in non diabetic patients, contrasting with additional hyperglycemic effects in diabetics, and a mean 5,4+/-10,3% increase of kaliemia (P <0,001) staying unchanged during the next pulses, and suggesting a rapid potassium efflux from the cell as a direct effect of methylprednisolone., Conclusion: Severe complications of pulse methylprednisolone, mainly cardiovascular, are strongly related to underlying comorbidities. Glucose monitoring is necessary only in diabetic patients. Potassium movements suggest a risk of hypokalicystia, of potential danger in patients with cardiac disease. A close clinical, blood pressure and electrocardiographic monitoring is needed during the whole treatment.

TINU is a rare disease of unknown etiology that associates acute tubulointerstitial nephritis and uveitis in a context of systemic symptoms (asthenia, weight loss, fever) and inflammatory biological signs. We report a new case in a 10-year-old girl with unilateral uveopapillitis and renal insufficiency caused by interstitial nephritis (creatininemia: 225 micro mol/l). Complete recovery was obtained with high-dose systemic corticotherapy, with the patient remaining free of disease 2.5 years after the end of treatment. The disappearance of renal lesions was histologically verified.