Text description provided by the architects. SITE & PROGRAMIn 2010, the town of Saint Germain lès Arpajon wants to acquire new equipment comprising a media library and a school of music and dance. This cultural center will replace the current school of music & dance and the current public library which are located in a small and malfunctioning existing building.
The site chosen by the city is a long and narrow strap plot which fits in a larger scale between Chanteloup park overlooking the West and Orge Valley in low-cons in the East. The plot is steep and looks down to the valley. It’s framed by Rolland Garros High School on a side and by a cemetery on the other side.
Courtesy of Ateliers O-S architectesURBAN PLANNINGThe Project main access is located by Leuville road, at the top of the site. A new path, created along the school to connect the main road to the path Chemin du Roy, distributes an eventual project of nursery which could take place at the bottom of the site.
Courtesy of Ateliers O-S architectesORGANISATION IN PLANSThe program is organized as a continuous loop, joining the top square to the bottom square. The structural programmatic entities of the cultural center are the library, the school of music & dance and a centralized lobby (including animation spaces, auditorium, expectations and exhibition spaces) from where the whole building and the administration are vertically distributed.
Floor PlanAt the Leuville Road, the project is approaching the ground to emerge from it down below the slope. The equipment clearly appears from the road Leuville, thus affirming this main access with a mineral and generous square. The public entrance of the cultural center opens between the two branches of the equipment as a welcoming hand to guide you through the building.
© Cyrille WeinerThe design of the wall- panels, based on a meticulous framework gradually alternating with different shaded of glazed- panels and printed-panels, gives rhythm to the façade of the public building. Solid wall-panels are made of extruded aluminum measured elements to create a random feeling and hide all mechanical fixations. The roof is vegetated to increase significantly the inertia of the building and to preserve a pleasant views over the surrounding buildings.
complemented by an clear architectural style
allows the public building to become an attraction in the neighborhood but also a link between the Leuville road and the rive l’Orge
The project was designed according to a comprehensive though about location
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Colombe Cyclecar which set up three world's records at Arpajon
The car which was promised had not shown up
as the Major and I were anxious to go to Arpajon
There were several attractions in the vicinity of Paris on that day
but the magnet that drew us in the direction of Arpajon was the Tentatives de Records du Monde
organised by the Moto-Cycle Club de France
on remarking that he was going to Piccadilly
No sooner had he learnt our intended destination
than he produced a copy of that morning’s paper in which was set out full details of the speed meeting we were to visit
all three of us started away with much eclat—which is cryptic French for keen anticipation of “the doings.”
through which showed the twin towers of Notre Dame on our port quarter
through “the Boro,” and so to the gates of the city
for Arpajon lies on the Paris-Orleans road
A brief but irritating halt was called here
an anachronism hardly less out of place than the modern English custom that permits one to buy cherries at an hour when the purchase of tobacco is forbidden
and mixed population was already on the scene; and someone had built a fence across the road and
with lordly disregard of the fact that it would cost us eight francs an hour
and followed in our footsteps to view the proceedings
I will not trouble you with an account of those footsteps
slipping and slithering in the trampled grass
over dry ditches and along the raw edge of cultivated fields
After a mile or so our attention was thankfully diverted to the course on our left
for a sound as of a bee in torment smote the ear
the babiest little motor-cyclette that ever called itself an automobile
Chéret lay prone along the spider-like frame
The irrepressible Ernest Eldridge was an unstoppable force in matters of velocity
becoming the last man to set a land speed record on an open road in 1924
and later still at the centre of the course where officials
and others of the cognoscenti were gathered
There was also a vigorous electrical generator
busy making the ” juice ” for the timing apparatus
and a huge loud speaker which swung about and reported progress to the crowds up and down the course
Everything seemed to have been provided for
including a first-aid outfit discreetly hidden behind the official stands
Fortunately the latter was called out but once
and so scared a gendarme that he made a wild jump into a ditch
Meanwhile I had toddled on to the parking point at the further end of the course
leaving the Major in company with George Brough—he of the cheery voice— to glean any good news during my absence
those second two miles—did I say that the day was bright and hot?—but a pressman knows only duty
and there was compensation in seeing some of our own men
flash by on their attempts to win more world’s records for Britain
A happy party were busy at the further end
Cyril Pullin and his brother; Vivian Prestwich
partially disguised in an Alpinist chapeau; and several others who are familiar figures at Brooklands
all hard at work helping our trio of speed cracks
An alfresco buffet reminded me that I had broken fast early that morning
a flask of wine—but no “thou”—helped to fill the gap
and it was time to start on the return tramp
On the way back I was passed by the big Fiat
and marvelled at the lack of confidence in his steering abilities displayed by the onlookers who took cover behind tree trunks or in the ditch
they had not seen him pirouette around the brink of the Byfleet banking
and streamlined in all except the tyres: what a ” bus” for a week-end run to Brighton
as the mean speed of two runs in reverse directions over the kilometre
but as a reverse gear had been left out of the car’s make-up
the performance could not qualify as a record
where he put up two world’s records at over 100 M.P.H
Riding solo he attained the speed of 123.08 M.P.H
Dissatisfied with the peculiar position arising out of the above
Eldridge made arrangements for a reverse gear to be fitted to his car
[Subject to official acceptance by the I.F.A.C
had achieved the wonderful speed of 122.44 m.p.h
All along the course they waved hats and cheered the appearance of the green jersey
as our ‘Erb handed out the grand vitesse in the most approved fashion
and I rather fancy that a goodly few of the 34 records put up that day
will adorn the record list for some little time to come
Let me add that the arrangements for the meeting evidenced careful and thorough preparation
and the only criticism one could offer was that the meeting
the standing start runs had yet to be carried through
we started upon the two mile tramp to our taxi
pausing only to enjoy a wordy altercation between a farmer and a hobbledehoy cyclist caught riding over his flourishing crop of chicory
Of our reunion with our chauffeur—of our dash back to headquarters over pavé whereon our ample tyres enabled us to pass it through many “sports” cars less well shod—of our graceful acknowledgment of the hat-raisings of villagers
who clearly mistook us for more famous persons—and of our pleasant surprise on finding that the hire of the car was amply settled by a payment of a pound apiece
These were but sideshows to the big picture
I append a few figures of the British riders’ performances :—
American racers Mario Andretti and Phil Hill have a lot of successes in common
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Metrics details
also known as spontaneous esophageal rupture
is a rare but life-threatening condition characterized by a tear in the esophagus
It is most commonly caused by a sudden increase in intraesophageal pressure
Early diagnosis of Boerhaave’s syndrome is crucial for improving patient outcomes
The classic triad of symptoms includes severe chest pain
and subcutaneous emphysema (air under the skin)
especially in patients without the typical symptoms
we present the clinical details of a 52-year-old male patient who presented to the emergency department (ED) with severe abdominal pain and vomiting for several days
The patient had a history of chronic alcohol abuse and a recent episode of vigorous vomiting
All clinicians need to be aware of this lethal disease
its frequently unusual presentations and the importance of early diagnosis
The focus of this case report is on an adult patient who experienced a spontaneous rupture of the esophagus
The significance of discussing this case lies in the rarity of the condition
and the negative impact that delayed diagnosis can have on the patient's outcome
the patient presented with severe abdominal pain and vomiting
which raised suspicion for Boerhaave’s syndrome
The patient's history of chronic alcohol abuse and recent episode of vigorous vomiting further supported the diagnosis
A 52-year-old man with a past history of chronic alcoholism presented to the ARPAJON emergency department (ED) on July 4th with abdominal pain
and a four-day history of bowel obstruction
He appeared distressed and showed signs of respiratory distress
with low blood pressure and a rapid heart rate
requiring an immediate volume expansion with crystalloids
The Thoraco-abdominal examination revealed an acute abdomen
reduced air entry at the right base of his chest
Initial blood chemistry demonstrated a rise in inflammatory markers—white cell counts 19.42 G/liter (normal upper limit 10 G/liter) and a C-reactive protein 7 mg/l (normal upper limit 12 mg/l)
with a significant elevation in Lactates 20.4 mmol/l (normal upper limit 2 mmol/l)
The initial arterial blood gas analysis showed a metabolic acidosis with a pH of 7.09 and a alkaline reserve level of 5 mmol/L
there was evidence of acute functional renal failure with a urea level of 18.1 mmol/L and a creatinine level of 226 µmol/L
The CT scan with contrast revealed a perforation of the lower third of the esophagus with pneumomediastinum, right apical pneumothorax, bilateral pleural effusion, and cervical emphysema, along with gastric distension (Fig. 1).
CT scan with contrast revealed a pneumomediastinum
requiring the initiation of NOREPINEPHRINE and subsequent oro-tracheal intubation
He was then transferred to the Saint Antoine Surgical Intensive Care Unit
An endoscopy performed upon his arrival confirmed a 5 mm esophageal perforation located 39 cm from the dental arches within a mucosa that appeared to have a circumferential esophagitis starting at 25 cm from the dental arches and extending to the cardia
which is situated 40 cm from the dental arches
Initial treatment was broad-spectrum antibiotics using MEROPENEME
with a later addition of with a later addition of FLUCONAZOLE
The patient underwent interventional endoscopy on his arrival
which revealed a 10 mm orifice located 40 cm from the dental arches within an esophagus where the mucosa seemed to have completely disappeared circumferentially over a ten- centimeter height
with only the uppermost 5 cm of the esophagus having a normal mucosa
There was also a Forrest grade 3 ulcer and a 15 mm subpapillary Forrest grade 2 ulcer
The fistula tract was catheterized and treated with the placement of three double-tailed pigtail stents
which were pushed towards the basithoracic right pleural collection
A naso-jejunal feeding tube was also inserted
The patient remained febrile and in septic shock
requiring the reintroduction of Norepinephrine
A repeat CT scan on July 13th showed the pigtail drains still in place in the postero-inferior mediastinal collection
A new digestive endoscopy was scheduled and performed on July 17th
The surgical management involved abdominal esophageal suturing with right anterolateral thoracotomy for right pleural decortication
Left pleural drainage and jejunostomy for feeding were also performed
The esophageal suture was covered with an anterolateral tuberosity valve extending into the posterior infra-mediastinal space
The occurrence of external cardiac arrhythmias
prompted the necessity for an external cardiac pacemaker
which was successfully implanted on July 13th
Surgical repair was successful and he made a full recovery
discharged home within 1 month of initial presentation
The timing of the diagnosis and treatment plays a significant role in determining the outlook for patients with Boerhaave’s syndrome
Early diagnosis and surgical repair within 24 h of the rupture generally result in better outcomes
and immediate surgical intervention are crucial for the management of this life-threatening condition
this case report emphasizes the importance of early diagnosis and aggressive management in improving outcomes for patients with Boerhaave’s syndrome
Boerhaave’s syndrome is characterized by a spontaneous rupture of the esophagus
This condition is associated with significant morbidity and mortality
with a higher mortality rate compared to ruptures of other parts of the digestive tract
Early diagnosis and intervention are critical in the management of Boerhaave’s syndrome
as delayed treatment can lead to life- threatening complications such as mediastinitis and sepsis
Various studies have highlighted the importance of accurately distinguishing Boerhaave’s syndrome from other conditions with similar presentations
Many published case reports comment on Mackler’s triad of vomiting, chest pain and emphysema, as key clinical signs and symptoms [9]
Recognizing the various signs and symptoms of this syndrome is crucial for physicians to consider it as a possible diagnosis
This becomes especially important when initial treatment approaches yield inconsistent results in symptom control
Boerhaave’s syndrome has a high mortality rate
early diagnosis and prompt surgical intervention significantly improve the patient's chances of survival
it is essential for healthcare professionals to consider Boerhaave’s syndrome in patients presenting with acute chest pain and a history of vomiting
Boerhaave’s syndrome is often misdiagnosed initially due to its resemblance to other common conditions
but a careful history and thorough evaluation can help reveal key clinical features that are characteristic of Boerhaave’s syndrome
Some of the common presenting symptoms of Boerhaave’s syndrome include vomiting
can aid in the identification of radiographic signs
such as pneumomediastinum and pneumoperitoneum
It is essential for healthcare providers to be aware of these clinical features and radiographic findings in order to make an accurate diagnosis and initiate timely management
These endoscopic techniques offer a less invasive alternative to surgery and have shown promising results in select cases of Boerhaave’s syndrome
Surgical repair is seen as the gold standard
with significant reduced mortality from early intervention within the first 24 h from presentation
the patient underwent two attempts with interventional endoscopy
it is crucial to accurately diagnose Boerhaave’s syndrome in order to provide timely and appropriate treatment
including a careful history and diagnostic imaging such as chest X-rays and computed tomography
can help in accurately diagnosing this rare condition
Healthcare providers should be aware of the characteristic clinical features and radiographic findings associated with Boerhaave’s syndrome
it is important to differentiate Boerhaave’s syndrome from Mallory-Weiss syndrome to ensure proper treatment and avoid complications
endoscopy can be used to differentiate between the two conditions and guide appropriate treatment
Accurate diagnosis of Boerhaave’s syndrome is crucial due to its potential life-threatening nature
Prompt recognition and early management of Boerhaave’s syndrome can greatly impact patient outcomes
Boerhaave’s syndrome is a rare condition characterized by a spontaneous rupture of the esophagus
Timely identification and treatment are crucial for improved prognosis
Preferred management involves surgical procedures such as mediastinal and chest drainage
This case report highlights the importance of considering Boerhaave’s syndrome in patients presenting with acute chest pain and a history of vomiting or retching
Increased awareness among healthcare professionals can lead to earlier diagnosis and potentially better outcomes in patients with Boerhave’s syndrome
No datasets were generated or analysed during the current study
Oesophageal Perforations in Iceland: a Whole Population Study on Incidence
Evolving options in the management of esophageal perforation
Morbi Historia (2) The First Translation of the Classic Case Report of Rupture of the Esophagus
Spontaneous esophageal rupture as the underlying cause of pneumothorax: early recognition is crucial
diagnosed late and successfully treated by Abbott’s T-tube
reassessment and outcome: Boerhaave’s syndrome
Honoring the Admiral: Boerhaave-van Wassenaer’s syndrome
Boerhaave syndrome: a diagnostic conundrum
The influence of the ‘golden 24-h rule’ on the prognosis of oesophageal perforation in the modern era☆
Boerhaave syndrome due to excessive alcohol consumption: two case reports
Current approach for Boerhaaves syndrome: A systematic review of case reports
Download references
We are grateful to the patient who kindly consented to the presentation of this case in this paper
Said Kortli & Hery Andrianjafy
with the manuscript reviewed by Hery ANDRIANJAFY
Written informed consent was obtained from all participants and from a parent and/or legal guardian
The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards
The Ethics Committee of the Arpajon General Hospital approved this study
For the Ethics Committee of the Arpajon General Hospital
Written informed consent was obtained from the patient for publication of this study and accompanying images
The authors declare no competing interests
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
unless otherwise stated in a credit line to the data
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DOI: https://doi.org/10.1186/s12245-024-00642-0
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January 2012Save this storySaveSave this storySaveToday
the sixth stage of the Tour de France will take the world’s top cyclists from the small commune of Arpajon-sur-Cère southwest to the Midi-Pyrénées town of Montauban in a near-superhuman feat of strength and endurance
outdoor cycling still provides significant health benefits that go far beyond a basic cardiovascular boost
five surprising ways biking can improve your mind and body—or
which was more effective than moderate-intensity exercise
It's particularly effective when done about every other day for roughly 30 minutes in the late afternoon or early evening
As Delage showcased its insane 1,115PS (832 kW) prototype V12 hypercar at the 2022 Goodwood Festival of Speed presented by Mastercard
we thought it prudent to educate ourselves about the French marque’s V12 credentials
And what better way to do so than taking a nose around the exquisitely presented
A World Speed Record holder that unquestionably inspired the engineers who developed its modern-day two-seater descendant
itself sporting a 7.6-litre naturally-aspirated V12 hybrid engine
With a staggering 99 years between the two cars
the gulf in engineering and styling couldn’t be more vast
standing next to the imposing but still very much beautiful 1923 DHV12
it’s evident that humanity’s need for speed was as vital and life affirming then as it is today
Built at the Paris works in 1923 by Frenchman Rene Thomas
The enormous V12 is mounted within a nine-foot-three-inch chassis
with a cosy two-seater cockpit pushed way back over the rear axle
much of its aesthetics and engineering harks to the styling of a WW1 bi-plane
As does the enormous 10.5 litre V12 engine
capable of 355PS (264 kW) with two valves per cylinder worked by pushrods and a five-bearing crank
accented by its world record breaking 143.3 mph performance on the open public roads at Arpajon in 1924
one that was broken merely a week later by Fiat
the Delage went on to win races and hold records right through to 1935
Notably with a Ladies’ Brooklands Outer Lap record of 129.5 mph by Mrs Kay Petre – a record that remains unbroken
A certain John Cobb would also own and drive the car between 1929 and 1931 during his own domination of Brooklands
breathing in the heady fumes of yesteryear
Eddie Williams from the Classic Motor Hub introduced himself
As the man responsible for piloting the DHV12 in anger up the Goodwood Hill during the Timed Shootout
we were keen to hear his thoughts on the Delage’s performance
But you can fire this car up and drive it down to the shops to get your sandwiches
“It revs to around three and a half thousand rpm
but I am planning on pushing to around 90 per cent
It would be good not to let any older cars beat me
As a man who has plenty of historic racing experience under his belt
including a Brooklands Trophy win alongside Duncan Pittaway in a Frazer-Nash
there’s a chance Eddie is being modest
There is of course the very real consideration of self-preservation involved
In the corners it floats and slides around quite nicely because these beaded tires are blown up to about 80 psi
fitted during John Cobb’s ownership to contend with the speeds of Brooklands
the DHV12 didn’t run front brakes at all
with stopping being the last of Rene Thomas’ worries
it is the braking which identifies a small chink in the Delage’s armour
pushing fuel forwards into the four enormous carbs
essentially stalling the engine unless there is a deft amount of throttle feathering taking place under braking
that would stall out during inverted rolls and loops
if a little superstitious about the Delage’s reliability
“I’m looking for a bit of wood to touch
You just need to be careful to check everything before you start
Oiling all the valves before each start up
Crank it over a few times to get oil pressure
“The original engine did have a huge blow out
The engine has been recast with a new crankcase
The majority of it is completely original though
The most fascinating bit is the steering wheel
That's the same wheel all of the drivers and owners have clung on to.”
It’s this tangible link to history that clearly excites Eddie
simple summary of why he came to the Festival of Speed: “This car is the reason I wanted to work where I do
The ultimate way to experience Festival of Speed
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The Paris Saint-Germain defender has signed for Juventus FC on a permanent deal
The Mantes-la-Jolie (Yvelines) native made her debut at FC Mantois
she signed for Stade de Reims for four seasons before joining the club from the capital in the summer of 2020
Bénédicte Simon was loaned to Spain and played for Club Atlético de Madrid
The club wishes Bénédicte all the best for this new adventure
Île-de-France Mobilités has just activated its compensation platform for public transport users who have experienced long delays on their line
Île-de-France Mobilités launched a refund campaign (Navigo pass
Imagine R pass…) for users affected by repeated delays on certain network lines in 2024
We explain all you need to know about refunds
the routes concerned and the procedures to follow
Île-de-France Mobilités has set up a compensation platform to take account of the inconveniences affecting thousands of users
and has activated it for its refund campaigns
The latest has just been launched on Tuesday March 18
and concerns several of the network’s lines
Île-de-France Mobilités is aiming to compensate users who experienced major delays in 2024 on specific lines
those whose punctuality was less than 80% over a period of at least three months
If you have used one of these lines on a regular basis (because your home
The organization has identified three routes on the RER B
and we’ll tell you all about them below
You’ll need to meet a number of conditions if you’re hoping to get a refund
depending on the extent of the malfunction
This website is unavailable in your location
It appears you are attempting to access this website from a country outside of the United States
therefore access cannot be granted at this time
Rachel Thomas
De nombreux voyageurs ont du faire face à une situation très alarmante mercredi 9 décembre au soir à Gare de Lyon après plusieurs incidents sur le RER D
Des quais surbondés et une distanciation physique inexistante qui a fait rager les internautes
"Mais surtout ne soyez pas plus de 6 à table à Noël hein !"..
La situation à la Gare de Lyon mercredi 9 décembre au soir a de quoi choquer
Des images des quais du RER D bondés comme jamais montrent une énorme foule de voyageurs complètement bloqués
les internautes n'ont pas manqué à l'appel ironisant sur la situation et exprimant leur colère.
Emily in Paris 💃🏻 #RERD @RERD_SNCF pic.twitter.com/Z83n2Y8a1V
Et ça ferme les restaurants 😎😎😎 #RERD pic.twitter.com/tKjitA6fIr
En ce moment à Gare de Lyon. Gestes barrières et distances de sécurité #RERD pic.twitter.com/fLJV6UpZkz
Mais surtout ne soyez pas plus de 6 à table à Noël hein ! 🤡🎄#RERD #garedelyon pic.twitter.com/uYWuygjEur
Donc je résume.. @RERC_SNCF pas de train sur Paris prendre @RERD_SNCF qui est interrompu...Je fais comment pour aller sur Arpajon ?? #Covid_19 pic.twitter.com/WIJjJ0UlWU
Ce qui se passe réellement dans les portiques du métro...#RATP #RERD Gare de Lyon pic.twitter.com/w8xfHc02eD
Le grain de sable qui a enrayé toute la machine. Absence de #RERC et panne sur #RERD = joyeux covid à tous... pic.twitter.com/rekx03iM0V
En direct live de GDL !!!Merci encore pour cette journée cher @RERD_SNCF !!!Et surtout gardons bien la distanciation sociale 😂😂😂 !!! pic.twitter.com/7Z3DiEO52Y
Quand t'arrive à l'heure pour ton train mais que ... #RERD pic.twitter.com/oD4KQoxNx3
La distanciation sociale est bien respectée la @EmmanuelMacron 👍🏽 #RERD #GAREDELYON pic.twitter.com/O87FJlZdIz
@olivierveran Pas de gestes barrière ici....RER D - Gare de LyonDes wagons à bestiaux bondés pour rentrer chez soi.Propagation du virus garantie pic.twitter.com/ZHX2NIsZEr
Ruée de Français allant acheter une bûche 6 personnes.....#RERD pic.twitter.com/L4wAbILzYu
France: Mark Cavendish took another giant step towards Tour de France greatness by claiming his 29th stage win yesterday in a dramatic sprint finish in sweltering heat
The 31-year-old Briton now only has Belgian legend Eddy Merckx ahead of him on the all-time list of stage victories with a once-seemingly unattainable mark of 34
But having won three stages out of six already in this Tour
Yesterday’s 190.5km sixth stage from Arpajon-sur-Cere to Montauban
Cavendish timed his burst for the line to perfection to streak past Marcel Kittel and then hold off a late surge by the German
“It was a fast finish so I knew it was well worth going early,” said Cavendish
“I knew I could get a sling-shot off Kittel.”
Briton Dan McLay took a surprise third place on the stage to show the future is bright in British sprinting whenever former world champion Cavendish decides to call time on his remarkable career
The Manx Missile had already beaten Kittel into second on Saturday’s opening stage to Utah Beach before also winning the third stage in Angers
Kittel got his own back on Tuesday’s fourth stage when Cavendish could finish only eighth but the Briton proved in Montauban he’s the fast man to beat at this Tour
It’s impossible to ride with a team here,” complained Kittel
who said Cavendish had produced a better sprint tactically
“It’s pure chaos and that’s why you can win here with really smart positioning.”
Cavendish took back the sprinters’ green points jersey from Slovakia’s Peter Sagan
It’s a jersey he should keep for several days as the Tour passes through the Pyrenees
where the overall contenders will finally start their battle
But Cavendish says he’s unlikely to hold it all the way to Paris as Sagan can pick up points in lumpy stages where pure sprinters can’t keep up
“He’s on a different level to everyone else
He can do what he wants,” admitted Cavendish
It’s nice to wear the green jersey but it will be with no-one in Paris but Peter.”
Belgium’s Greg Van Avermaet kept hold of the race leader’s yellow jersey and maintains his 5min 11sec lead over Frenchman Julian Alaphilippe
But both will be hard pushed to maintain such lofty positions on Friday when the first major mountain
“Keeping the yellow jersey will be hard tomorrow but I will try - if you’re in yellow you have to fight for it in every second,” said the 31-year-old BMC rider
“The approach is easy but we’ll see how far I can go on a climb like this
Five minutes is a lot but when the climbers really go