998 resultados para 362.57
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Collection : Les archives de la Révolution française ; 3.1
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Kirje 18.1.1962
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Estudia las causas del fenómeno del Niño y proporciona información del proyecto “El Niño” ejecutado por el Departamento de Meteorología de la Universidad de California a solicitud de la Comisión Interamericana del Atún Tropical.
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Revisa los mapas estacionales de la temperatura de superficie del Pacífico Oriental correspondientes al periodo 1935-57, comparando algunas estaciones en dicho periodo, la circulación Termohalina Transecuatorial y revisando el control meteorológico fundamental sobre el fenómeno de “El Niño” en la variable de los vientos alisios.
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Investiga sobre las fluctuaciones de los vientos alisios y su papel en el fenómeno de El Niño. Por otro lado, estudia las series de tiempo de las temperaturas de la superficie del mar cerca de las costas de Costa Rica, Ecuador y Perú.
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Aborda las series de tiempo de las temperaturas de la superficie del mar derivadas de los mapas mensuales registrados en los años 1939-56 que apoyan a la interpretación de la información meteorológica y oceánica del fenómeno de “El Niño”.
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Bureau of Nutrition and Health Promotion part of the Iowa Department of Public Health produces of weekly newsletter about the Iowa WIC Program for the State of Iowa citizen.
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Adult-type rhabdomyosarcoma (RMS) has been classically defined as a pleomorphic sarcoma with desmin expression occurring in adult patients. To reevaluate this entity, we analyzed a series of 57 cases using immunohistochemistry for desmin, myogenin, alpha smooth muscle actin, h-caldesmon, pankeratin AE1/AE3, epithelial membrane antigen (EMA), S100 protein, CD34, MDM2, and CDK4. In this series, there were 36 men and 21 women aged from 22 to 87 years (median: 59). Tumors were mainly located in the lower limbs (27 cases), trunk wall (15 cases), and upper limbs (10 cases). Most tumors were deeply located (51/54) with a size from 1 to 30 cm (median: 8 cm). Cases were classified in 3 histologic categories: spindle cell RMS (25 cases), pleomorphic RMS (16 cases), and mixed type (16 cases). Forty-one tumors were grade 3 and 16 grade 2. Immunohistochemistry showed that every case was positive for desmin and myogenin. Alpha smooth muscle actin was positive in 21%, pankeratin AE1/AE3 in 20%, and CD34 in 13.2%. Treatment modalities and follow-up were available in 46 cases. Median follow-up was 60.9 months. Eight patients developed a local recurrence and 16 a distant metastasis with a 5-year overall survival rate of 52.6% and a 5-year metastasis-free survival of 62.9%. The only predictive factor for metastasis was histologic grade. In conclusion, adult-type RMS is a rare sarcoma occurring mainly in the extremities and trunk wall with 2 main histologic patterns, spindle cell, and pleomorphic patterns, which represent the end of the spectrum of a single entity.
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BACKGROUND: The EuroCMR registry sought to evaluate indications, image quality, safety and impact on patient management of clinical routine CMR in a multi-national European setting. Furthermore, interim analysis of the specific protocols should underscore the prognostic potential of CMR. METHODS: Multi-center registry with consecutive enrolment of patients in 57 centers in 15 countries. More than 27000 consecutive patients were enrolled. RESULTS: The most important indications were risk stratification in suspected CAD/Ischemia (34.2%), workup of myocarditis/cardiomyopathies (32.2%), as well as assessment of viability (14.6%). Image quality was diagnostic in more than 98% of cases. Severe complications occurred in 0.026%, always associated with stress testing. No patient died during or due to CMR. In 61.8% CMR findings impacted on patient management. Importantly, in nearly 8.7% the final diagnosis based on CMR was different to the diagnosis before CMR, leading to a complete change in management. Interim analysis of suspected CAD and risk stratification in HCM specific protocols revealed a low rate of adverse events for suspected CAD patients with normal stress CMR (1.0% per year), and for HCM patients without LGE (2.7% per year). CONCLUSION: The most important indications in Europe are risk stratification in suspected CAD/Ischemia, work-up of myocarditis and cardiomyopathies, as well as assessment of viability. CMR imaging is a safe procedure, has diagnostic image quality in more than 98% of cases, and its results have strong impact on patient management. Interim analyses of the specific protocols underscore the prognostic value of clinical routine CMR in CAD and HCM.
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« De la souveraineté des rois de France sur la ville et le comté de Lion » (fol. 2, 93, 120) : pièces justificatives, 942-1320 (132, 183). — Lettre critique sur l'Histoire civile ou consulaire de la ville de Lyon du P. Menestrier (90). — Primatie de Lyon (186). Extraits « ex cartulario episcopatus Diensis, quod est conventus fratrum Minimorum Parisiensium, » 1158-1229 (193). Diplômes de l'empereur Frédéric II, copies extraites des archives du Domaine royal en Languedoc, arm. B (196). Inventaire des chartes du Trésor relatives au Lyonnais (218).