A voyage to Senegal ; or, historical, philosophical, and political memoirs, relative to the discoveries ... of Europeans in the Atlantic Ocean ... to which is added an account of a journey from Isle St. Louis to Galam

by J. P. L. Durand

Commemorating the 75th Anniversary of the Voyage of the MS St. Louis: Lecture and Panel Discussion

This flyer promotes the event "Commemorating the 75th Anniversary of the Voyage of the MS St. Louis: Lecture and Panel Discussion" cosponsored by the Cuban Research Institute and the Ruth K. and Shephard Broad Distinguished Lecture Series.

St. Louis to St. Paul Corridor Feasibility and Necessity Study: Consultant's Report to the States, 1990

The study analyzes the need for a four-lane highway between St. Louis and St. Paul, and finds it to be needed; it analyzes the highway's feasibility, and finds it to be feasible; it analyzes alternative design standards and suggests that it be built to expressway standards; and, the study evaluates alternative routes and presents four "finalist" routes for your consideration.

St. Louis to St. Paul Corridor Feasibility and Necessity Study: Consultant's Summary Report, 1990

The study analyzes the need for a four-lane highway between St. Louis and St. Paul, and finds it to be needed; it analyzes the highway's feasibility, and finds it to be feasible; it analyzes alternative design standards and suggests that it be built to expressway standards; and, the study evaluates alternative routes and presents four "finalist" routes for your consideration.

Annual report.

Mode of access: Internet.

The Ironworker.

Description based on: Vol. 60, no. 1 (Jan. 1960); title from cover.

Chartism /

Bound in marbled paper boards; brown leather shelfback and corners, stamped in gold; black leather label on spine; all edges speckled. Title on spine: Omnium gatherum.

Annual Report

Mode of access: Internet.

Monthly Bulletin. New Series

Preceded by St. Louis Public School Library Bulletin, 1879-83; Monthly Bulletin of the St. Louis Public Library, V.1-3, 1894-97; and St. Louis Public Library Magazine, V.4-5, 1897-98

Annual report

Mode of access: Internet.

Medico-moral problems /

Includes bibliographical references and index.

Charter, constitution, by-laws, rules, officers, committees, and members of the Bar Association of Saint Louis

Mode of access: Internet.

Estudio de caso. “el papel de los refugiados en la implementación de la política de libre circulación de la cedeao: visto desde el flujo de Liberia a Ghana”

Este estudio de caso tiene como objetivo determinar las implicaciones del flujo de población refugiada en la implementación de la política de libre circulación de la CEDEAO; tomando como referente el flujo desde Liberia hacia Ghana generado por la Guerra Civil. Esta investigación defiende que las implicaciones pueden estar relacionadas a las dinámicas que se asocian al movimiento de personas, las cuales pueden ser negativas o positivas, razón por la cual los Estados pueden reaccionar endureciendo las políticas migratorias, la obtención de permisos laborales y de residencia, y el cierre de fronteras o la expulsión de refugiados; con el fin de evitar consecuencias a nivel político, económico o en materia de seguridad. Para comprobar lo anterior se va a realizará un análisis de texto, sobre posiciones nacionales y políticas comunitarias, así como una revisión de estudios y estadísticas relacionados con el tema.

The arterial switch operation in Europe for transposition of the great arteries: a multi-institutional study from the European Congenital Heart Surgeons Association

OBJECTIVES: This study analyzes the results of the arterial switch operation for transposition of the great arteries in member institutions of the European Congenital Heart Surgeons Association. METHODS: The records of 613 patients who underwent primary arterial switch operations in each of 19 participating institutions in the period from January 1998 through December 2000 were reviewed retrospectively. RESULTS: A ventricular septal defect was present in 186 (30%) patients. Coronary anatomy was type A in 69% of the patients, and aortic arch pathology was present in 20% of patients with ventricular septal defect. Rashkind septostomy was performed in 75% of the patients, and 69% received prostaglandin. There were 37 hospital deaths (operative mortality, 6%), 13 (3%) for patients with an intact ventricular septum and 24 (13%) for those with a ventricular septal defect (P < .001). In 36% delayed sternal closure was performed, 8% required peritoneal dialysis, and 2% required mechanical circulatory support. Median ventilation time was 58 hours, and intensive care and hospital stay were 6 and 14 days, respectively. Although of various preoperative risk factors the presence of a ventricular septal defect, arch pathology, and coronary anomalies were univariate predictors of operative mortality, only the presence of a ventricular septal defect approached statistical significance (P = .06) on multivariable analysis. Of various operative parameters, aortic crossclamp time and delayed sternal closure were also univariate predictors; however, only the latter was an independent statistically significant predictor of death. CONCLUSIONS: Results of the procedure in European centers are compatible with those in the literature. The presence of a ventricular septal defect is the clinically most important preoperative risk factor for operative death, approaching statistical significance on multivariable analysis.

Prediction of first coronary events with the Framingham score: a systematic review

BACKGROUND: Uncertainty exists about the performance of the Framingham risk score when applied in different populations. OBJECTIVE: We assessed calibration of the Framingham risk score (ie, relationship between predicted and observed coronary event rates) in US and non-US populations free of cardiovascular disease. METHODS: We reviewed studies that evaluated the performance of the Framingham risk score to predict first coronary events in a validation cohort, as identified by Medline, EMBASE, BIOSIS, and Cochrane library searches (through August 2005). Two reviewers independently assessed 1496 studies for eligibility, extracted data, and performed quality assessment using predefined forms. RESULTS: We included 25 validation cohorts of different population groups (n = 128,000) in our main analysis. Calibration varied over a wide range from under- to overprediction of absolute risk by factors of 0.57 to 2.7. Risk prediction for 7 cohorts (n = 18658) from the United States, Australia, and New Zealand was well calibrated (corresponding figures: 0.87-1.08; for the 5 biggest cohorts). The estimated population risks for first coronary events were strongly associated (goodness of fit: R2 = 0.84) and in good agreement with observed risks (coefficient for predicted risk: beta = 0.84; 95% CI 0.41-1.26). In 18 European cohorts (n = 109499), the corresponding figures indicated close association (R2 = 0.72) but substantial overprediction (beta = 0.58, 95% CI 0.39-0.77). The risk score was well calibrated on the intercept for both population clusters. CONCLUSION: The Framingham score is well calibrated to predict first coronary events in populations from the United States, Australia, and New Zealand. Overestimation of absolute risk in European cohorts requires recalibration procedures.