1000 resultados para Galt, John, 1779-1839.
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Comprend : The History of the emperor Jovien
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BACKGROUND Very few data exist on the clinical impact of permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation. The objective of this study was to assess the impact of PPI after transcatheter aortic valve implantation on late outcomes in a large cohort of patients. METHODS AND RESULTS A total of 1556 consecutive patients without prior PPI undergoing transcatheter aortic valve implantation were included. Of them, 239 patients (15.4%) required a PPI within the first 30 days after transcatheter aortic valve implantation. At a mean follow-up of 22±17 months, no association was observed between the need for 30-day PPI and all-cause mortality (hazard ratio, 0.98; 95% confidence interval, 0.74-1.30; P=0.871), cardiovascular mortality (hazard ratio, 0.81; 95% confidence interval, 0.56-1.17; P=0.270), and all-cause mortality or rehospitalization for heart failure (hazard ratio, 1.00; 95% confidence interval, 0.77-1.30; P=0.980). A lower rate of unexpected (sudden or unknown) death was observed in patients with PPI (hazard ratio, 0.31; 95% confidence interval, 0.11-0.85; P=0.023). Patients with new PPI showed a poorer evolution of left ventricular ejection fraction over time (P=0.017), and new PPI was an independent predictor of left ventricular ejection fraction decrease at the 6- to 12-month follow-up (estimated coefficient, -2.26; 95% confidence interval, -4.07 to -0.44; P=0.013; R(2)=0.121). CONCLUSIONS The need for PPI was a frequent complication of transcatheter aortic valve implantation, but it was not associated with any increase in overall or cardiovascular death or rehospitalization for heart failure after a mean follow-up of ≈2 years. Indeed, 30-day PPI was a protective factor for the occurrence of unexpected (sudden or unknown) death. However, new PPI did have a negative effect on left ventricular function over time.
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Lettre autographe signée sur papier bleuté. - Date restituée d'après le contexte : Spontini sollicite de Berlioz un article de soutien dans le "Journal des débats", à propos de son projet de réforme de la musique sacrée, ce que fit Berlioz dans le n° du 10 mai 1839
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Référence bibliographique : Rol, 56990
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Référence bibliographique : Rol, 57288
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The problematic of performativity has recently produced several criticisms and debates about the status of the economic discourse. Indeed the affirmation that economist shapes the world by describing it could leads to the subjectivist idea that each theory can in fine be 'true' and each theory can perform the social world in his specific way. This work clarifies this problematic in connecting it with the institutional theory of John Searle. We define performativity as a particular type of assignment of function. Finally, this enables us to show that performativity is limited by two kinds of factors : brut facts and social facts.