[Voyage en Italie : 1824-1830]. , [Maisons] : [trois plans de rez-de-chaussée] : [dessin] / h. L. [Henri Labrouste]

Référence bibliographique : Weigert, 50b

[Voyage en Italie : 1824-1830]. , [Tombeau] : [élévation, deux plans, coupe et deux profils] : [dessin] / h. L. [Henri Labrouste]

Référence bibliographique : Weigert, 68a

[Voyage en Italie : 1824-1830]. , [Choeurs] de l'Eglise de Ste Croix [et] de l'Eglise d'Ogni Santi : [deux plans partiels] : [dessin] / h. L. [Henri Labrouste]

Référence bibliographique : Weigert, 135

Audit report on Pleasantville Emergency Services Association, Pleasantville, Iowa for the year ended June 30, 2012

Audit report on Pleasantville Emergency Services Association, Pleasantville, Iowa for the year ended June 30, 2012

Wireless E911 Emergency Communications Fund Iowa Homeland Security and Emergency Management Division of the Iowa Department of Public Defense independent auditor's reports, basic financial statements and supplementary information, June 30, 2012.

Audit report on the Wireless E911 Emergency Communications Fund of the Iowa Homeland Security and Emergency Management Division of the Iowa Department of Public Defense for the year ended June 30, 2012

La Formació permanent del professorat a Catalunya. Una visió a través del tractament de la formació de formadors i formadores en els plans institucionals.

L'article fa un recorregut històric pels plans de formació permanent del professorat d'infantil, primària i secundària a Catalunya. Centra l'anàlisi de l'evolució de la formació permanent en el tractament que els diferents plans de formació han fet de la figura del formador de formadors. Aquest element permet anar establint els aspectes que han suposat els moments de canvi. Es veu el progressiu distanciament de la formació de les universitats i la creixent institucionalització dels plans de formació. També s'exposa la dicotomia entre els objectius que es plantegen i l'escassa preparació i consideració que els plans atorguen a aquests professionals, deixant en un limbe poc definit les funcions, responsabilitats i atribucions que se'ls atorga.

A Monte Carlo-based procedure for independent monitor unit calculation in IMRT treatment plans.

Intensity-modulated radiotherapy (IMRT) treatment plan verification by comparison with measured data requires having access to the linear accelerator and is time consuming. In this paper, we propose a method for monitor unit (MU) calculation and plan comparison for step and shoot IMRT based on the Monte Carlo code EGSnrc/BEAMnrc. The beamlets of an IMRT treatment plan are individually simulated using Monte Carlo and converted into absorbed dose to water per MU. The dose of the whole treatment can be expressed through a linear matrix equation of the MU and dose per MU of every beamlet. Due to the positivity of the absorbed dose and MU values, this equation is solved for the MU values using a non-negative least-squares fit optimization algorithm (NNLS). The Monte Carlo plan is formed by multiplying the Monte Carlo absorbed dose to water per MU with the Monte Carlo/NNLS MU. Several treatment plan localizations calculated with a commercial treatment planning system (TPS) are compared with the proposed method for validation. The Monte Carlo/NNLS MUs are close to the ones calculated by the TPS and lead to a treatment dose distribution which is clinically equivalent to the one calculated by the TPS. This procedure can be used as an IMRT QA and further development could allow this technique to be used for other radiotherapy techniques like tomotherapy or volumetric modulated arc therapy.

Clinical predictors for Legionella in patients presenting with community-acquired pneumonia to the emergency department.

BACKGROUND: Legionella species cause severe forms of pneumonia with high mortality and complication rates. Accurate clinical predictors to assess the likelihood of Legionella community-acquired pneumonia (CAP) in patients presenting to the emergency department are lacking. METHODS: We retrospectively compared clinical and laboratory data of 82 consecutive patients with Legionella CAP with 368 consecutive patients with non-Legionella CAP included in two studies at the same institution. RESULTS: In multivariate logistic regression analysis we identified six parameters, namely high body temperature (OR 1.67, p < 0.0001), absence of sputum production (OR 3.67, p < 0.0001), low serum sodium concentrations (OR 0.89, p = 0.011), high levels of lactate dehydrogenase (OR 1.003, p = 0.007) and C-reactive protein (OR 1.006, p < 0.0001) and low platelet counts (OR 0.991, p < 0.0001), as independent predictors of Legionella CAP. Using optimal cut off values of these six parameters, we calculated a diagnostic score for Legionella CAP. The median score was significantly higher in Legionella CAP as compared to patients without Legionella (4 (IQR 3-4) vs 2 (IQR 1-2), p < 0.0001) with a respective odds ratio of 3.34 (95%CI 2.57-4.33, p < 0.0001). Receiver operating characteristics showed a high diagnostic accuracy of this diagnostic score (AUC 0.86 (95%CI 0.81-0.90), which was better as compared to each parameter alone. Of the 191 patients (42%) with a score of 0 or 1 point, only 3% had Legionella pneumonia. Conversely, of the 73 patients (16%) with > or =4 points, 66% of patients had Legionella CAP. CONCLUSION: Six clinical and laboratory parameters embedded in a simple diagnostic score accurately identified patients with Legionella CAP. If validated in future studies, this score might aid in the management of suspected Legionella CAP.

July 2009 Rail Company Abandonment Plans Map, 2009

This is a map of railroad lines in Iowa under study to be abandoned.

Classification and Pay Plans FY2014, June 2013

This document Classifications and Pay Plans is produced by the State of Iowa Executive Branch, Department of Administrative Services. Informational document about the pay plan codes and classification codes, how to use them.

Accès des patients agés aux urgences: evolution démographique et perspectives médico-ethiques [Access of elderly patients in the emergency department: demographic evolution and ethical perspectives].

Due to actual demographic evolution, emergency departments have to face a dramatic increase in admissions of elderly people. The peculiar medical and socio-demographic characteristics of these old patients emphasize the need of specific decision processes and resources allocation. An individual-based approach, related to significant ethical values, should allow better diagnostic and therapeutic attitudes. Such a way to admit, evaluate and treat older patients implies an active collaboration with patients and their relatives, but also with all medical interveners, including in particular primary care physicians.

Department of Public Defense: Iowa Homeland Security and Emergency Management Division, FY2005

Agency Performance Report