1000 resultados para 7038-214
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Contient : Pièces relatives aux titres faux de Souvigny (sur ces titres, cf. M.-A. Chazaud, Étude sur la chronologie des sires de Bourbon, Moulins, 1866, in-8°, p. 33-80) : ; Notes sur les chartes de Souvigny envoyées à M. de Barville (Chazaud, op. cit., p. 47) ; Note de Mabillon sur la charte de Childebrand II (ibid., p. 44) ; Testaments d'Aimon et d'Aimar de Bourbon, prétendus originaux en parchemin ; Note, de la main de Baluze, attribuant la fabrication de ces pièces au duc d'Epernon (ibid., p. 38) ; Rapport de Mabillon et de Baluze sur les titres de Souvigny (ibid., p. 36) ; Minute, de la main de Baluze, du procès-verbal d'examen du cartulaire de Sauxillange, par Baluze, Mabillon, Ruinart et Ch. d'Hozier (19 août 1696) ; Note, de la main de Baluze, sur P. de Bar ; Procès-verbal d'examen des titres fournis par P. de Bar au duc de Bouillon, signé de Baluze, Mabillon et Ruinart ; Lettres d'érection du marquisat de Montausier en duché et pairie (août 1664) ; Mémoires sur les droits de la terre de Chevreuse du titre de duché ; Note sur l'état de la seigneurie de Vitry-sur-Seine ; Mémoires concernant les ducs d'Atrie (Atri) et princes de Melfe (Melfi) et les maisons d'Acquaviva et « Diaceto », parmi lesquels une Remonstrance à Monseigneur le chancellier par Anne et Charlotte de Melphe d'Aquin, impr. s. d. de 4 p. in-4° (f. 44), une Descendance de Messire Scipion d'Aquavive, duc d'Atrye, placard impr. s. d. (f. 48), une Lettre envoyée et présentée au Roy de la part du comte de Chasteauvillain, impr. de 12 p. in-4°, Cambrai, 1624 (f. 49), une lettre de M. de Cadenet, lieutenant d'une compagnie de M. de Montmorency, d'Aire, 20 mai 1579 (f. 60) ; Notice généalogique sur la maison d'Albert ; Contrat de mariage d'Honoré d'Albert de Luynes et d'Anne de Rodulph (6 mars 1573) ; Lettres originales, des XVIe et XVIIe siècles, relatives à la famille de Luynes, écrites par divers personnages : ; [Richelieu], évêque de Luçon, au connétable de Luynes, s. d. ; minute ; Le même au même, s. d. ; minute originale ; La reine mère [Marie de Médicis] à M. de Luynes ; minute ; La même au même, minute ; Le cardinal G[eorges] d'Armagnac à la reine (Avignon, 13 septembre 1570) ; M. de Clermont-Lodève au roi (Toulouse, 2 septembre 1570) ; Le même au duc d'Anjou (même date) ; Instructions données par le maréchal de Montmorency d'Anville à M. de Luynes (1570) ; Lettre du même au duc d'Anjou (Nîmes, 12 septembre 1570) ; Le même à la reine (même date) ; Pièces relatives au conflit de juridiction entre François, évêque de Verdun, et Jean Gillet, lieutenant-général en la justice royale de la dite ville (31 décembre 1626-13 février 1627) ; Extraits des registres du Conseil d'État (22 juin-15 juillet 1670) relatifs à l'assemblée du clergé, avec une lettre de Du Mez à Baluze lui annonçant l'envoi desdits extraits (f. 101) ; Requête adressée au roi par le comte de Coligny ; « Relation du conclave où le pape Alexandre VII a esté esleu, composée à ce qu'on croit par M. l'abbé Charrier » [1655] ; Lettres d'Alexandre VII relatives à l'insulte faite au duc de Créquy (28 août 1662) ; « Oratio habita a... Clemente IX in concilio habito ad cardinales circa nuncium pacis inter reges Christianum, et Catholicum » ; Lettre de Clément X à l'amiral d'Estrées (22 août 1672) ; Lettres d'Innocent XI adressées à Louis XIV (27 décembre 1679), à Henri [Cauchon], évêque d'Evreux, du 21 janvier 1680 (f. 146), à Joseph [de Montpezat], archevêque de Toulouse, du 2 octobre 1680 (f. 147), aux religieuses de Charonne, du 7 août 1680 et du 15 octobre 1680 (f. 148 et 149) ; Mémoire de [C.-M. Le Tellier], coadjuteur de Reims, sur les conciles provinciaux (1670) ; Mémoire sur la régale (en italien), et documents divers, en italien, sur le même sujet, à propos de l'affaire de l'évêché de Pamiers ; Mémoire de l'ambassadeur de France au collège des cardinaux (s. d.) ; Historique des événements survenus à l'occasion de la régale de Pamiers, de 1673 à 1680 ; « Lettera d'un curiale di Roma a un suo amico in Parigi » (11 novembre 1680) ; Autre lettre d'un « curiale di Roma » (s. d.) ; « Lettera di monsieur N. scritta al sig. cardinale N., a di 16 febr. 1681. »
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Contient : Épitaphes des Cordeliers de Neufchâteau ; Épitaphes de Bayon ; Épitaphes de l'abbaye de Beaupré ; Épitaphes de Magnières ; Épitaphes des Cordeliers de Mirecourt ; Épitaphes des Carmes de Besançon ; Épitaphes des Cordeliers de Besançon ; Épitaphes de Bourbonne ; Épitaphes de l'abbaye de Morimond ; Épitaphes de Beaufrémont ; Épitaphes de Remennecourt ; Copie abrégée de l'épitomé de Jean Daucy ; Extrait du Trésor de l'évêché de Verdun
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BACKGROUND: Since 1981 Princess Margaret Hospital has used initial active surveillance (AS) with delayed treatment at relapse as the preferred management for all patients with clinical stage I nonseminomatous germ cell tumors (NSGCT). OBJECTIVE: Our aim was to report our overall AS experience and compare outcomes over different periods using this non-risk-adapted approach. DESIGN, SETTING, AND PARTICIPANTS: Three hundred and seventy-one patients with stage I NSGCT were managed by AS from 1981 to 2005. For analysis by time period, patients were divided into two cohorts by diagnosis date: initial cohort, 1981-1992 (n=157), and recent cohort, 1993-2005 (n=214). INTERVENTION: Patients were followed at regular intervals, and treatment was only given for relapse. MEASUREMENTS: Recurrence rates, time to relapse, risk factors for recurrence, disease-specific survival, and overall survival were determined. RESULTS AND LIMITATIONS: With a median follow-up of 6.3 yr, 104 patients (28%) relapsed: 53 of 157 (33.8%) in the initial group and 51 of 214 (23.8%) in the recent group. Median time to relapse was 7 mo. Lymphovascular invasion (p<0.0001) and pure embryonal carcinoma (p=0.02) were independent predictors of recurrence; 125 patients (33.7%) were designated as high risk based on the presence of one or both factors. In the initial cohort, 66 of 157 patients (42.0%) were high risk and 36 of 66 patients (54.5%) relapsed versus 17 of 91 low-risk patients (18.7%) (p<0.0001). In the recent cohort, 59 of 214 patients (27.6%) were high risk and 29 of 59 had a recurrence (49.2%) versus 22 of 155 low-risk patients (14.2%) (p<0.0001). Three patients (0.8%) died from testis cancer. The estimated 5-yr disease-specific survival was 99.3% in the initial group and 98.9% in the recent one. CONCLUSIONS: Non-risk-adapted surveillance is an effective, simple strategy for the management of all stage I NSGCT.
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Glucagon-like peptide-1 (GLP-1) is the most potent stimulator of glucose-induced insulin secretion and its pancreatic beta-cell receptor is a member of a new subfamily of G-protein-coupled receptors which includes the receptors for vasoactive intestinal polypeptide, secretin and glucagon. Here we studied agonist-induced GLP-1 receptor internalization in receptor-transfected Chinese hamster lung fibroblasts using three different approaches. First, iodinated GLP-1 bound at 4 degrees C to transfected cells was internalized with a t 1/2 of 2-3 min following warming up of the cells to 37 degrees C. Secondly, exposure to GLP-1 induced a shift in the distribution of the receptors from plasma membrane-enriched to endosomes-enriched membrane fractions, as assessed by Western blot detection of the receptors using specific antibodies. Thirdly, continuous exposure of GLP-1 receptor-expressing cells to iodinated GLP-1 led to a linear accumulation of peptide degradation products in the medium following a lag time of 20-30 min, indicating a continuous cycling of the receptor between the plasma membrane and endosomal compartments. Potassium depletion and hypertonicity inhibited transferrin endocytosis, a process known to occur via coated pit formation, as well as GLP-1 receptor endocytosis. In contrast to GLP-1, the antagonist exendin-(9-39) did not lead to receptor endocytosis. Surface re-expression following one round of GLP-1 receptor endocytosis occurred with a half-time of about 15 min. The difference in internalization and surface re-expression rates led to a progressive redistribution of the receptor in intracellular compartments upon continuous exposure to GLP-1. Finally, endogenous GLP-1 receptors expressed by insulinoma cells were also found to be internalized upon agonist binding. Together our data demonstrate that the GLP-1 receptor is internalized upon agonist binding by a route similar to that taken by single transmembrane segment receptors. The characterization of the pathway and kinetics of GLP-1-induced receptor endocytosis will be helpful towards understanding the role of internalization and recycling in the control of signal transduction by this receptor.
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PURPOSE: To evaluate the cause of recurrent pathologic instability after anterior cruciate ligament (ACL) surgery and the effectiveness of revision reconstruction using a quadriceps tendon autograft using a 2-incision technique. TYPE OF STUDY: Retrospective follow-up study. METHODS: Between 1999 and 2001, 31 patients underwent ACL revision reconstruction because of recurrent pathologic instability during sports or daily activities. Twenty-eight patients were reviewed after a mean follow-up of 4.2 years (range, 3.3 to 5.6 years). The mean age at revision surgery was 27 years (range, 18 to 41 years). The average time from primary procedure to revision surgery was 26 months (range, 9 to 45 months). A clinical, functional, and radiographic evaluation was performed. Also magnetic resonance imaging (MRI) or computed tomography (CT) scanning was performed. The International Knee Documentation Committee (IKDC), Lysholm, and Tegner scales were used. A KT-1000 arthrometer measurement (MEDmetric, San Diego, CA) by an experienced physician was made. RESULTS: Of the failures, 79% had radiographic evidence of malposition of their tunnels. In only 6 cases (21%) was the radiologic anatomy of tunnel placement judged to be correct on both the femoral and tibial side. The MRI or CT showed, in 6 cases, a too-centrally placed femoral tunnel. After revision surgery, the position of tunnels was corrected. A significant improvement of Lachman and pivot-shift phenomenon was observed. In particular, 17 patients had a negative Lachman test, and 11 patients had a grade I Lachman with a firm end point. Preoperatively, the pivot-shift test was positive in all cases, and at last follow-up in 7 patients (25%) a grade 1+ was found. Postoperatively, KT-1000 testing showed a mean manual maximum translation of 8.6 mm (SD, 2.34) for the affected knee; 97% of patients had a maximum manual side-to-side translation <5 mm. At the final postoperative evaluation, 26 patients (93%) graded their knees as normal or nearly normal according to the IKDC score. The mean Lysholm score was 93.6 (SD, 8.77) and the mean Tegner activity score was 6.1 (SD, 1.37). No patient required further revision. Five patients (18%) complained of hypersensitive scars from the reconstructive surgery that made kneeling difficult. CONCLUSIONS: There were satisfactory results after ACL revision surgery using quadriceps tendon and a 2-incision technique at a minimum 3 years' follow-up; 93% of patients returned to sports activities. LEVEL OF EVIDENCE: Level IV, case series, no control group.
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We combined structural analysis, thermobarometry and oxygen isotope geochemistry to constrain the evolution of kyanite and/or andalusite-bearing quartz veins from the amphibolite facies metapelites of the Simano nappe, in the Central Alps of Switzerland. The Simano nappe records a complex polyphase tectonic evolution associated with nappe stacking during Tertiary Alpine collision (D1). The second regional deformation phase (132) is responsible for the main penetrative schistosity and mineral lineation, and formed during top-to-the-north thrusting. During the next stage of deformation (D3) the aluminosilicate-bearing veins formed by crystallization in tension gashes, in tectonic shadows of boudins, as well as along shear bands associated with top-to-the-north shearing. D2 and D3 are coeval with the Early Miocene metamorphic peak, characterised by kyanite + staurolite + garnet + biotite assemblages in metapelites. The peak pressure (P) and temperature (T) conditions recorded are constrained by multiple-equilibrium thermobarometry at 630 +/- 20 degrees C and 8.5 +/- 1 kbar (similar to 27 km depth), which is in agreement with oxygen isotope thermometry indicating isotopic equilibration of quartz-kyanite pairs at 670 +/- 50 degrees C. Quartz-kyanite pairs from the aluminosilicate-bearing quartz veins yield equilibration temperatures of 645 +/- 20 degrees C, confirming that the veins formed under conditions near metamorphic peak. Quartz and kyanite from veins and the surrounding metapelites have comparable isotopic compositions. Local intergranular diffusion in the border of the veins controls the mass-transfer and the growth of the product assemblage, inducing local mobilization of SiO2 and Al2O3. Andalusite is absent from the host rocks, but it is common in quartz veins, where it often pseudomorphs kyanite. For andalusite to be stable at T-max, the pressure in the veins must have been substantially lower than lithostatic. An alternative explanation consistent with structural observations would be inheritance by andalusite of the kyanite isotopic signature during polymorphic transformation after the metamorphic peak.
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Clozapine (CLO), an atypical antipsychotic, depends mainly on cytochrome P450 1A2 (CYP1A2) for its metabolic clearance. Four patients treated with CLO, who were smokers, were nonresponders and had low plasma levels while receiving usual doses. Their plasma levels to dose ratios of CLO (median; range, 0.34; 0.22 to 0.40 ng x day/mL x mg) were significantly lower than ratios calculated from another study with 29 patients (0.75; 0.22 to 2.83 ng x day/mL x mg; P < 0.01). These patients were confirmed as being CYP1A2 ultrarapid metabolizers by the caffeine phenotyping test (median systemic caffeine plasma clearance; range, 3.85; 3.33 to 4.17 mL/min/kg) when compared with previous studies (0.3 to 3.33 mL/min/kg). The sequencing of the entire CYP1A2 gene from genomic DNA of these patients suggests that the -164C > A mutation (CYP1A2*1F) in intron 1, which confers a high inducibility of CYP1A2 in smokers, is the most likely explanation for their ultrarapid CYP1A2 activity. A marked (2 patients) or a moderate (2 patients) improvement of the clinical state of the patients occurred after the increase of CLO blood levels above the therapeutic threshold by the increase of CLO doses to very high values (ie, up to 1400 mg/d) or by the introduction of fluvoxamine, a potent CYP1A2 inhibitor, at low dosage (50 to 100 mg/d). Due to the high frequency of smokers among patients with schizophrenia and to the high frequency of the -164C > A polymorphism, CYP1A2 genotyping could have important clinical implications for the treatment of patients with CLO.
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Phengites from the eclogite and blueschist-facies sequences of the Cycladic island of Syros (Greece) have been dated by the in situ UV-laser ablation Ar-40/Ar-39 method. A massive, phengite-rich eclogite and an omphacite-rich metagabbro were investigated. The phengites are eubedral and coarse-grained (several 100 mum), strain-free and exhibit no evidence for late brittle deformation or recrystallization. Apparent ages in these samples range from 43 to 50 Ma for the phengite-rich eclogite and 42 to 52 Ma for the ompbacitic metagabbro. This large spread of ages is visible at all scales-within individual grains as well as in domains of several 100 mum and across the entire sample (ca. 2 cm). Such variations have been traditionally attributed to metamorphic cooling or the incorporation of excess argon. However, the textural equilibrium between the phengites and other high pressure phases and the subtle compositional variations within the phengites, especially the preservation of growth textures, alternatively suggest that the observed range in ages may reflect variations of radiogenic argon acquired during phengite formation and subsequent growth, thus dating a discrete event on the prograde path. This implies that the oldest phengite 40Ar/39Ar ages provide the best estimate of a minimum crystallization age, which is in agreement with recently reported U-Pb and Lu-Hf geochronological data. Our results are consistent with available stable isotope data and further suggest that, under fluid-restricted conditions, both stable and radiogenic isotopic systems can survive without significant isotopic exchange during subduction and exhumation from eclogite-facies P-T conditions. (C) 2004 Elsevier B.V. All rights reserved.
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INTRODUCTION: Auscultatory nonmercury manual devices seem good alternatives for the mercury sphygmomanometers in the clinic and for research settings, but individual internal validation of each device is time-consuming. The aim of this study was to validate a new technique capable of testing two devices simultaneously, based on the International protocol of the European Society of Hypertension. METHODS: The concept of the new technique is to measure blood pressure alternatively by two observers using a mercury sphygmomanometer and by two observers using the A&D UM-101 and Accoson Greenlight 300 devices, connected by Y-tube to obtain simultaneous readings with both nonmercury devices. Thirty-three participants were enrolled (mean age 47.2±14.0 years). Nine sequential blood pressure measurements were performed for each participant. RESULTS: Both devices passed phase 1 using 15 participants. In phase 2.1 (n=33), on a maximum of 99 measurements, the Accoson device produced 81/95/99 measurements within 5/10/15 mmHg for systolic blood pressure (SBP) and 87/98/99 for diastolic blood pressure (DBP). The A&D device produced 86/96/99 for SBP and 94/99/99 for DBP. In phase 2.2 (n=33), 30 participants had at least 2 out of 3 SBP obtained with Accoson device within 5 mmHg of the mercury device, as compared with 29 of 33 participants with the A&D device. For DBP, this was 33 of 33 participants for both devices. CONCLUSION: Both the nonmercury devices passed the International protocol. The new technique of simultaneous device testing using a Y-tube represents a time saving application of the International protocol.